Individual
DR. JENNIFER CHRISTINE COLLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 E. 55TH ST, CHICAGO, IL 60615-4906
(773) 702-0660
Mailing address
800 E. 55TH ST, CHICAGO, IL 60615-4906
(773) 702-0660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36113796
IL
208000000X
Pediatrics Physician
36113796
IL
Other
Enumeration date
07/19/2007
Last updated
01/18/2012
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