<Unavail>

LBN: Dominique Coffie
<Unavail> is an health care organization with primary practice located at 6727 175Th St , Tinley Park IL 60477-4041. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Dominique Coffie can be contacted via phone (716) 603-9857, or through Coffie, Dominique via phone (716) 603-9857.

Contact Information

Primary practice address
6727 175Th St Tinley Park IL 60477-4041
Phone: (716) 603-9857
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coffie, Dominique
Phone: (716) 603-9857

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1962805176
LBN Legal business name Dominique Coffie
DBA Doing business as <Unavail>
Authorized official Coffie, Dominique
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2014
Last updated Oct 1st, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers