Organization
MINOU W.COLIS M.D.S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA D WINGERT (OFFICE)
(847) 724-9400
Entity
Organization
Contact information
Practice address
2440 RAVINE WAY, SUITE 600, GLENVIEW, IL 60025-7648
(847) 724-9400
(847) 724-9401
Mailing address
2440 RAVINE WAY, SUITE 600, GLENVIEW, IL 60025-7648
(847) 724-9400
(847) 724-9401
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036065711
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065711
—
IL
Enumeration date
06/25/2008
Last updated
02/22/2011
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