Individual
MARIA MAGDALENA COLTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 618-1000
Mailing address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 618-6575
(847) 618-6569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041460053
IL
363L00000X
Nurse Practitioner
Primary
209024371
IL
363LF0000X
Family Nurse Practitioner
209.024371
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209024371
STATE LICENSE
IL
Enumeration date
11/08/2021
Last updated
01/04/2022
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