Individual
COLLEEN MARY DINGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN II, CST
Contact information
Practice address
6 CIRCLE DR, CHATHAM, IL 62629-1662
(217) 685-8030
Mailing address
6 CIRCLE DR, CHATHAM, IL 62629-1662
(217) 685-8030
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.088240
IL
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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