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CLIFFORD LOREN COLEMAN M.D.
NPI 1053492710
Specialist in Carbondale, IL

Active since October 18, 2006
1155 CEDAR CT, CARBONDALE, IL 62901(618) 549-3388(618) 549-3380 Get Directions Write a Review

NPPES record last updated: October 1, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Clifford Loren Coleman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLIFFORD LOREN COLEMAN M.D. (NPI 1053492710) is an individual specialist in Carbondale, Illinois, licensed in Illinois (036060385) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1053492710
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameCLIFFORD LOREN COLEMANCredential: M.D.
Location Address1155 CEDAR CTCarbondale, IL 62901-5333
Mailing Address1155 Cedar CtCarbondale, IL 62901-5333 · (618) 549-3388 · Fax (618) 549-3380
Phone(618) 549-3388
Fax(618) 549-3380
Sole ProprietorYes
Enumeration DateOctober 18, 2006
Last NPPES UpdateOctober 1, 2010
✔ NPI 1053492710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036060385
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1155 CEDAR CT, Carbondale, IL 62901
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Other Identifiers 2

Medicaid036060385IL
Medicare ID-Type Unspecified654350IL

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLIFFORD L COLEMAN & ASSOCIATES LTD
Specialist
1155 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 549-3388
RASSIK COMPLETE RECOVERY INC
Psychiatry & Neurology (Psychiatry)
1155 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 490-1045
TIFFANY HICKS GARDNER APRN
Nurse Practitioner (Family)
1155 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 490-1045
DR. RAKESH CHANDRA MD
Psychiatry & Neurology (Psychiatry)
1155 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 490-1045
UNIVERSITY CORRECTIONAL HEALTH CARE SOLUTIONS LLC
Psychiatry & Neurology (Psychiatry)
1155 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 390-3484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clifford Coleman's NPI number?

The NPI number for Clifford Coleman is 1053492710. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Clifford Coleman located?

Clifford Coleman practices at 1155 Cedar Ct, Carbondale, IL 62901. The listed phone number is (618) 549-3388.

What is Clifford Coleman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Clifford Coleman was last updated on October 1, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.