Individual
COLLEEN MARIE O'HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
Mailing address
333 CHATELAINE CT, WILLOWBROOK, IL 60527-3126
(630) 323-2853
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209015133
IL
Other
Enumeration date
11/06/2017
Last updated
05/13/2021
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