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NPI Code Detail

MEDICARE: DR. RINDIE I COKER D.N.

MEDICARE:  DR. RINDIE I COKER  D.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10001633410OTHERILBLUE CROSS PROVIDER ID

General Provider Information

NPI Number : 1437257193
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RINDIE I COKER D.N.
Provider Business Mailing Address
First Line : 2022 DEMPSTER ST
Second Line : 105
City : EVANSTON
State : IL
Zip : 60202-1017
Country : US
Telephone Number : 847-328-0901
Fax Number :
Provider Business Practice Location Address
First Line : 2022 DEMPSTER ST
Second Line : 105
City : EVANSTON
State : IL
Zip : 60202-1017
Country : US
Telephone Number : 847-328-0901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. RINDIE I COKER D.N.” Practice Location

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