Healthcare Provider Details

I. General information

NPI: 1952324287
Provider Name (Legal Business Name): CHRISTINE COATS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE MCWHINNEY DDS

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

643 S DIXIE HWY
BEECHER IL
60401-3666
US

IV. Provider business mailing address

PO BOX 53
BEECHER IL
60401-0053
US

V. Phone/Fax

Practice location:
  • Phone: 708-946-3777
  • Fax: 708-946-1923
Mailing address:
  • Phone: 708-946-3777
  • Fax: 708-946-1923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: