Individual
COLIN PATRICK FLANNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC
Contact information
Practice address
1645 W JACKSON BLVD STE 215, CHICAGO, IL 60612-3227
(312) 942-8028
Mailing address
1645 W JACKSON BLVD STE 215, CHICAGO, IL 60612-3227
(312) 942-8028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125.080829
IL
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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