Individual provider · Type 1 NPI
Cristin Coquillard
Plastic and Reconstructive Surgery Physician · Chicago, IL
NPI number
1649773565
Active
Practice location
251 E Huron St
Chicago, IL 60611-2908
Mailing address
2177 S Overlook Rd
Cleveland Heights, OH 44106-3102
Other practice locations
- 5841 S Maryland Ave, Chicago, IL 60637-1443 · (888) 824-0200
- 10855 Virginia St, Crown Point, IN 46307-0210 · (888) 824-0200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 036176055 (IL) |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 01096903A (IN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1649773565
Cristin Coquillard's National Provider Identifier is 1649773565, issued on Mar 16, 2018. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Chicago, IL. The record was last updated on Sep 15, 2025.