Individual
HANNAH ROSE COLLAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 DOVER AVE, LA GRANGE, IL 60525-5858
(815) 768-5317
Mailing address
55 DOVER AVE, LA GRANGE, IL 60525-5858
(815) 768-5317
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
041413419
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
2022067279
IL
Other
Enumeration date
10/13/2022
Last updated
01/10/2023
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