Individual
COLLEEN GRACE DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 E WAVERLY RD, ARLINGTON HEIGHTS, IL 60004-2557
(847) 226-7412
Mailing address
306 E WAVERLY RD, ARLINGTON HEIGHTS, IL 60004-2557
(847) 226-7412
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10327
GA
Other
Enumeration date
09/17/2019
Last updated
05/06/2021
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