MICHELLE COBURN (NPI# 1164034633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164034633 |
| Entity Type | Individual |
| Full Name | MICHELLE COBURN |
| Practice Address |
8327 S Loomis Blvd Chicago IL 60620-3958 |
| Practice Telephone | 7085736342 |
| Mailing Telephone | 7085736342 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578924874 | Michelle Coburn | Counselor | 9105 Ne Highway 99, 201a, Vancouver, WA 98665-8961 | 2016-03-14 |
| Street Address |
8327 S LOOMIS BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60620-3958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358182 | Kenya Reed | Developmental Therapist | 8920 S Loomis St, Apt 116, Chicago, IL 60620 | 2020-05-26 |
| 1255820031 | Bnd Transportation | Non-emergency Medical Transport (VAN) | 9436 S Laflin St # 3, Chicago, IL 60620 | 2018-05-07 |
| 1386132520 | It Takes A Community LLC | Day Training, Developmentally Disabled Services | 9046 S Justine St, Chicago, IL 60620 | 2018-04-24 |
| 1598200164 | Julie Rae Scott | Social Worker | 400 W 76th Street, Suite 226, Chicago, IL 60620 | 2017-01-05 |
| 1033521968 | James Towns | Clinical Exercise Physiologist | 9247 S. Wentworth, Chicago, IL 60620 | 2014-05-27 |
| 1629488788 | Renee Victoria Green | Counselor | 9415 S. Lowe, Chicago, IL 60620 | 2014-04-29 |
| 1588085138 | Steven Hsu | Chiropractor | 9415 S. Western Ave., Suite 207, Chicago, IL 60620 | 2013-12-30 |
| 1164791810 | Richard Kasper | Pharmacist | 7901 S Western, Chicago, IL 60620 | 2011-12-27 |
| 1992089916 | Michawn Willis | Pharmacist | 8636 S Ashland, Chicago, IL 60620 | 2011-10-10 |
| 1770884314 | Gjm Consultant Services PC | Home Health | 400 W. 76th Street, Suite 202, Chicago, IL 60620 | 2010-11-13 |
| Find all providers in zip 60620 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644568 | Ashley Nicole Morgan | Specialist | 7732 S Evans Ave, Chicago, IL 60619-2909 | 2019-02-06 |
| 1326523192 | Frances Simmons-ellis | Specialist | 3441 W Chicago Ave, Chicago, IL 60651-4033 | 2018-09-27 |
| 1780178780 | Andre Beans | Specialist | 68 E 21st St, Chicago, IL 60616-1730 | 2018-06-21 |
| 1437691953 | Jamila Jones | Specialist | 7845 S Cornell Ave, Chicago, IL 60649-4907 | 2016-11-15 |
| 1326580325 | Richelle Williams | Specialist | 16 N Morgan St, Chicago, IL 60607-2612 | 2016-11-08 |
| 1083076699 | Lashawn Jones | Specialist | 2038 W. Division St, Chicago, IL 60622 | 2016-03-23 |
| 1275936494 | Shavonne Sahara | Specialist | 600 W Englewood Ave, Chicago, IL 60621-2053 | 2014-10-01 |
| 1518599968 | Kenyatta Butcher | Specialist | 8100 S Stony Island Ave, Chicago, IL 60617-1734 | 2020-02-04 |
| 1366941767 | Answers 2 Hairloss | Specialist | 2600 S Michigan Ave Ste 314, Chicago, IL 60616-2860 | 2018-02-12 |
| 1912413808 | Melvina Cox | Specialist | 2600 S Michigan Ave Ste 314, Chicago, IL 60616-2860 | 2017-12-14 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.