Individual
JEROME L KOLAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27650 FERRY RD, SUITE 100, WARRENVILLE, IL 60555-3845
(630) 225-2663
(630) 225-2399
Mailing address
27650 FERRY RD, SUITE 100, WARRENVILLE, IL 60555-3845
(630) 225-2663
(630) 225-2399
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
036070601
IL
Other
Enumeration date
10/19/2005
Last updated
04/01/2014
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