Individual provider · Type 1 NPI

Mark Coleman, MD

Specialist · La Grange, IL

NPI number 1295750743 Active

Practice location

1415 W 47th St
La Grange, IL 60525-6136

Call (708) 579-9375 Map

Fax (708) 579-9378

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1295750743

Mark Coleman, MD's National Provider Identifier is 1295750743, issued on Jul 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in La Grange, IL. The record was last updated on Jan 23, 2009.