Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 16004405 | IL |
N | 213ES0131X | Foot Surgery | 16004405 | IL |
NPI | 1043287956 |
---|---|
Provider Name | Coleen Napolitano |
First Address | Maywood, IL 60153 |
Second Address | Maywood, IL 60153 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 04/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
16004405 | (05) | IL |
T93115 | (02) |