Search › Illinois › 207R00000X
Colin Coubal
NPI 1780529495 · on the registry since 2026
Practice
- Address
- 3250 W Crystal St Apt 3
Chicago, IL 60651 - Phone
- (715) 563-7635
Additional practice sites
- 5140 N California Ave, Chicago, IL
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-20
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