Individual
DR. MARIA COLAVINCENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 1600, CHICAGO, IL 60611-2927
(312) 695-8106
(312) 695-0537
Mailing address
676 N SAINT CLAIR ST, SUITE 1600, CHICAGO, IL 60611-2927
(312) 695-8106
(312) 695-0537
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.123111
IL
Other
Enumeration date
05/07/2008
Last updated
01/26/2012
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