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Search › Illinois › 183500000X

Justin Coleman

NPI 1922779917 · on the registry since 2021

Practice

Address
3900 Fountain Square Pl
Waukegan, IL 60085
Phone
(847) 473-2487
Organisation at this address
Walmart Inc.
Bravo Eyecare Pllc
Goodworks Eyecare, Ltd
Wal-Mart Stores, Inc. Dba Wal-Mart
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois