Individual
COLLEEN MARY WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
353 N DESPLAINES ST APT 2104, CHICAGO, IL 60661-1352
(630) 742-1150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006650
IL
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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