| Doctor Name: | MICHAEL JOHN COFFEL |
| NPI Number: | 1275795866 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-BC |
| License Number: | 209.007106041.257478 |
| Business Practice Address: | 100 Spalding Dr Suite 300 Naperville, IL - 605406550 |
| Business Phone Number: | 6307172626 |
| Business Fax Number: | 6303552515 |
| Mailing Address: | 1860 Paysphere Cir, CHICAGO |
| State: | IL |
| Postal Code: | 606740018 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2008 |
| NPI Last Update Date: | 09/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209.007106041.257478 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |