Individual
MONIQUE COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1725 W HARRISON ST STE 1159, CHICAGO, IL 60612
(312) 942-5020
Mailing address
1725 W HARRISON ST STE 1159, CHICAGO, IL 60612-3883
(312) 942-5020
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209-007585
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041308145
LICENSE NUMBER
IL
Enumeration date
12/15/2009
Last updated
07/03/2019
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