Individual
JILL COLONTUONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC, PNCB
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
209005901
IL
363LN0000X
Neonatal Nurse Practitioner
71004785A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100060351
—
WI
05
—
200927830
—
IN
Enumeration date
08/29/2007
Last updated
05/08/2025
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