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Individual

COLLEEN ANN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 362-2900
Mailing address
2778 N MILWAUKEE AVE APT 219, CHICAGO, IL 60647-1323
(815) 210-0811

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.536425
IL
363LF0000X
Family Nurse Practitioner
Primary
209029424
IL

Other

Enumeration date
10/13/2023
Last updated
06/10/2025
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