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Individual

SCOTT COLBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-3100
(815) 363-9044
Mailing address
9422 MARTIN DR, SPRING GROVE, IL 60081-8707

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
IL

Other

Enumeration date
08/15/2006
Last updated
07/08/2007
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