Individual
COLLEEN E KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 N WESTMORELAND RD STE 102, LAKE FOREST, IL 60045-1687
(847) 535-6464
(847) 535-7723
Mailing address
800 N WESTMORELAND RD STE 102, LAKE FOREST, IL 60045-1687
(847) 535-6464
(847) 535-7723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010611
IL
Other
Enumeration date
03/14/2023
Last updated
04/10/2025
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