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Kalea Colletta

Psychiatry & Neurology, Neurology in Maywood, IL. Individual provider (NPI-1).

NPI number1063830917
StatusActive
Last updated in NPPESOct 25, 2020

Details

NPI
1063830917
Entity type
Individual (NPI-1)
Name
Kalea Colletta
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 28, 2014
Certification date
Oct 25, 2020
Last updated
Oct 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology1063830917ILYes

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Phone 708-216-6006 · Fax 708-216-2683

Mailing address

2160 S 1st Ave
Maywood, IL 60153-3328

Phone 708-216-6006 · Fax 708-216-2683

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