IndividualActive
Marco Coleman
NPI 1114508041 · Counseling Psychologist · Chicago, IL
Provider details
- NPI number
- 1114508041
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
1436 W Irving Park Rd Apt 3
Chicago, IL 60613-7245
Phone: (917) 573-2365
Mailing address
1436 W Irving Park Rd Apt 3
Chicago, IL 60613-7245
Registry dates
- Enumerated
- 2021-04-21
- Last updated
- 2021-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.