Individual
TERRA L KOLACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
444 N EOLA RD STE 110, AURORA, IL 60502-9619
(630) 692-5660
(630) 692-5661
Mailing address
444 N EOLA RD STE 110, AURORA, IL 60502-9619
(630) 692-5660
(630) 692-5661
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277001612
IL
363LF0000X
Family Nurse Practitioner
277001612
IL
Other
Enumeration date
08/07/2019
Last updated
10/28/2021
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