Individual
COLLEEN TAPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Contact information
Practice address
1725 W HARRISON ST, CHICAGO, IL 60612-3841
(312) 942-6422
Mailing address
7131 166TH ST APT 301, TINLEY PARK, IL 60477-2554
(312) 942-6422
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209018099
IL
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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