Individual
KATHLEEN COLANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
1874 GREAT PLAINS WAY, BOLINGBROOK, IL 60490-5516
(216) 970-9911
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009073
IL
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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