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

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122X036176055 (IL)
Plastic and Reconstructive Surgery Physician 2086S0122X01096903A (IN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

1,378 other providers at this address

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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.