Dr. Stephen Andrew Coulson
Internist Emergency Physician Critical Care Medicine Internist - Addiction Medicine
1115 Margate Ln
Libertyville
, Illinois 60048-2441
Dr. Stephen Andrew Coulson
Internist Emergency Physician Critical Care Medicine Internist - Addiction Medicine
1115 Margate Ln
Libertyville
, Illinois 60048-2441
(847) 910-2850
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About
Features
Specialties
- Emergency Physician
- Internist
- Internist - Addiction Medicine
- Critical Care Medicine
Languages spoken
- English
Location
First Address
- Dr. Stephen Andrew Coulson
- 1115 Margate Ln
- Libertyville, IL
- Zip : 60048-2441
- Phone : (847) 910-2850
Second Address
- Dr. Stephen Andrew Coulson
- 1115 Margate Ln
- Libertyville, IL
- Zip : 60048-2441
- Phone : (847) 910-2850
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Is Dr. Stephen Andrew Coulson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 036-098320 | IL |
| Y | 207R00000X | Internist | 036-098320 | IL |
| Y | 111NI0900X | Internist | 036-098320 | IL |
| N | 207RA0401X | Internist - Addiction Medicine | 036-098320 | IL |
| N | 207RC0200X | Critical Care Medicine | 036-098320 | IL |
National Provider Identifier
| NPI | 1841292778 |
|---|---|
| Provider Name | Dr. Stephen Andrew Coulson |
| First Address | Libertyville, IL 60048-2441 |
| Second Address | Libertyville, IL 60048-2441 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2005 |
| Last Update Date | 15/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0360983202 | (05) | IL |
| H75884 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.