Greg Coughlin

NPI #1104199140 in Wheaton, Illinois

Provider Information

NPI Number: 1104199140
Entity Type: Individual
Name: Greg Coughlin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Feb 22, 2012
Last Updated: Feb 22, 2012

Practice Location

Address: 422 N PROSPECT ST
City: Wheaton
State: Illinois
ZIP Code: 60187-5839
Phone: (630) 682-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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