Individual
LINDA COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 CHEKER SQ, HAZEL CREST, IL 60429-1442
(708) 444-1012
Mailing address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043081020
IL
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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