Individual
MS. KATHLEEN M. COLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, MSN, CURN
Contact information
Practice address
820 S DAMEN AVE, UROLOGY CLINIC, JESSE BROWN VA MEDICAL CENTER, CHICAGO, IL 60612-3728
(312) 569-8387
(312) 569-7253
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
163WU0100X
Urology Registered Nurse
Primary
—
IL
363L00000X
Nurse Practitioner
Primary
209005593
IL
363LA2200X
Adult Health Nurse Practitioner
209-005593
IL
363LA2200X
Adult Health Nurse Practitioner
—
IL
Other
Enumeration date
08/21/2006
Last updated
04/02/2026
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