Individual
MRS. NICOLE COLON QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3750 W OGDEN AVE, CHICAGO, IL 60623-2426
(872) 588-3000
Mailing address
691 ANCHORAGE CT, PINGREE GROVE, IL 60140-2133
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071011393
IL
Other
Enumeration date
03/24/2020
Last updated
10/17/2025
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