Individual
DESTANEE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-4511
Mailing address
14527 S CALHOUN AVE, BURNHAM, IL 60633-2207
(708) 983-4384
(708) 983-4384
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28261926A
IN
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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