Tanner L Colegrove
Obstetrician & Gynecologist
900 N Westmoreland Rd Suite # 207
Lake Forest
, Illinois 60045-1674
Tanner L Colegrove
Obstetrician & Gynecologist
900 N Westmoreland Rd Suite # 207
Lake Forest
, Illinois 60045-1674
(847) 234-0900
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Tanner L Colegrove
- 900 N Westmoreland Rd Suite # 207
- Lake Forest, IL
- Zip : 60045-1674
- Fax : (847) 234-0900
- Phone : (847) 234-9110
Second Address
- Tanner L Colegrove
- 900 N Westmoreland Rd Suite # 207
- Lake Forest, IL
- Zip : 60045-1674
- Fax : (847) 234-0900
- Phone : (847) 234-9110
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | IL |
National Provider Identifier
| NPI | 1003941113 |
|---|---|
| Provider Name | Tanner L Colegrove |
| First Address | Lake Forest, IL 60045-1674 |
| Second Address | Lake Forest, IL 60045-1674 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4915052 | IL BLUE CROSS BLUE SHIELD (01) | IL |
| I38986 | (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.