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MS. COLLEEN SUSANNE CUSHING RAGON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN, CNS

Contact information

Practice address
5401 N KNOXVILLE AVE, PEORIA, IL 61614-5098
(309) 691-1069
Mailing address
8940 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-3000
(309) 243-3274

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.013583
IL
364SA2200X
Adult Health Clinical Nurse Specialist
209.008764
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209.013583
LICENSE
IL
Enumeration date
04/21/2011
Last updated
03/18/2026
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