Organization
EVETTE COLL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVETTE COLL (OWNER)
(773) 405-6020
Entity
Organization
Contact information
Practice address
4N050 FERSON CREEK RD, ST CHARLES, IL 60174-1131
(773) 405-6020
Mailing address
4N050 FERSON CREEK RD, ST CHARLES, IL 60174-1131
(773) 405-6020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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