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Organization
MERRIONETTE PARK PHYSICIANS GROUP SC
Active
Organization
MERRIONETTE PARK PHYSICIANS GROUP SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY R COLTRO (PRESIDENT)
(708) 422-6800
Entity
Organization
Contact information
Practice address
9830 RIDGELAND AVE STE 5A, CHICAGO RIDGE, IL 60415-2668
(708) 422-6800
(708) 422-6888
Mailing address
9830 RIDGELAND AVE STE 5A, CHICAGO RIDGE, IL 60415-2668
(708) 422-6800
(708) 422-6888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042617755
—
207RR0500X
Rheumatology Physician
042617755
IL
Other
Enumeration date
06/28/2006
Last updated
02/18/2026
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