Individual
MS. SUSAN COLANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5TH AVENUE & ROOSEVELT RD., HINES, IL 60141
(708) 202-3693
Mailing address
1912 S MAIN ST, LOMBARD, IL 60148-4944
(732) 559-2547
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-277401
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
277-001482
IL
Other
Enumeration date
08/14/2006
Last updated
07/25/2024
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