Susan Collazo
Nurse Practitioner - Acute Care
251 E Huron St
Chicago
, Illinois 60611-2908
Susan Collazo
Nurse Practitioner - Acute Care
251 E Huron St
Chicago
, Illinois 60611-2908
(630) 830-4631
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Susan Collazo
- 1387 Branden Ln
- Bartlett, IL
- Zip : 60103-8924
- Phone : (630) 830-4631
Second Address
- Susan Collazo
- 251 E Huron St
- Chicago, IL
- Zip : 60611-2908
- Phone : (312) 695-3800
Reviews
FAQs
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What type of doctor is Susan Collazo
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 209-001114 | IL |
National Provider Identifier
| NPI | 1043422819 |
|---|---|
| Provider Name | Susan Collazo |
| First Address | Bartlett, IL 60103-8924 |
| Second Address | Chicago, IL 60611-2908 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2007 |
| Last Update Date | 08/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P05499 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.