Carolyn B Coulam MD

NPI 1023097011 - Obstetrics & Gynecology - 207VE0102X

NPI Details
NPI 1023097011
Gender Female
Enumeration Date 01/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
233 E ERIE ST
#500
CHICAGO IL, 60611-5935, US
Phone (312) 944-2600
Fax (312) 944-0100
Business Location
2500 RIDGE AVE
#200
EVANSTON IL, 60201-2455, US
Phone (847) 869-7777
Fax (847) 869-7782
Toxanomy
Taxonomy Code 207VE0102X
License State Illinois
License Number 36092625
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According to our database, Carolyn B Coulam MD NPI is 1023097011, taxonomy code is 207VE0102X and license number is 36092625, license state is located at Illinois. Carolyn B Coulam MD physically located at 233 E Erie St, Chicago IL, 60611-5935. NPI Number Carolyn B Coulam MD has the Individual type.

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1023097011 NPI number is provided on an as is basis without warranty of any kind. 1023097011 is maintained by the National Plan & Provider Enumeration System. The contents of Carolyn B Coulam MD are for informational purposes only.