Individual
MRS. ANQUINETTE COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
8543 S ASHLAND AVE, CHICAGO, IL 60620-4710
(708) 925-4585
(708) 575-2442
Mailing address
16601 LUELLA AVE, SOUTH HOLLAND, IL 60473-2618
(708) 715-4586
(708) 575-2442
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041291124
IL
163W00000X
Registered Nurse
—
IL
251E00000X
Home Health Agency
Primary
041291124
IL
251E00000X
Home Health Agency
—
—
Other
Enumeration date
03/31/2022
Last updated
07/21/2022
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