Individual
SUSAN MARIE COLEGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1239 WINDHAM PKWY, ROMEOVILLE, IL 60446-1608
(815) 942-6323
(630) 226-9475
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0264
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.147298
IL
Other
Enumeration date
04/04/2016
Last updated
06/15/2022
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