Individual
DR. JERRY RENATO COLTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9830 RIDGELAND AVE, SUITE 7, CHICAGO RIDGE, IL 60415-2667
(708) 422-6800
(708) 422-6888
Mailing address
9830 RIDGELAND AVE, SUITE 7, CHICAGO RIDGE, IL 60415-2668
(708) 422-6800
(708) 422-6888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036070297
IL
207RR0500X
Rheumatology Physician
036070297
IL
Other
Enumeration date
05/20/2006
Last updated
01/11/2012
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