# MINOU W.COLIS M.D.S.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134381890
- **Authorized official:** MS. SARA D WINGERT (OFFICE)
- **Authorized official phone:** (847) 724-9400

## Contact information

- **Practice address:** 2440 RAVINE WAY, SUITE 600, GLENVIEW, IL 60025-7648
- **Practice address phone:** (847) 724-9400
- **Practice address fax:** (847) 724-9401
- **Mailing address:** 2440 RAVINE WAY, SUITE 600, GLENVIEW, IL 60025-7648
- **Mailing address phone:** (847) 724-9400
- **Mailing address fax:** (847) 724-9401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036065711 | IL | Yes |

## Other

- **Enumeration date:** 06/25/2008
- **Last updated:** 02/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036065711 | — | IL |