Individual
COLLETTE O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
385 KOPP RD, WATERLOO, IL 62298-1907
(618) 534-3368
Mailing address
385 KOPP RD, WATERLOO, IL 62298-1907
(618) 534-3368
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041372227
IL
163W00000X
Registered Nurse
Primary
2008022188
MO
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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