Colleen Dougherty Cardinal, MSN
Nurse Practitioner, Family in Olympia Fields, IL. Individual provider (NPI-1).
NPI number1295010825
StatusActive
Last updated in NPPESMar 14, 2025
Details
- NPI
- 1295010825
- Entity type
- Individual (NPI-1)
- Name
- Ms. Colleen Dougherty Cardinal
- Credential
- MSN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2011
- Certification date
- Mar 14, 2025
- Last updated
- Mar 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209006298 | IL | Yes |
| 363L00000X | Nurse Practitioner | 209006298 | IL |
Practice location
4001 Vollmer RdOlympia Fields, IL 60461-3168
Phone 708-481-8883
Mailing address
29373 Network PlChicago, IL 60673-1293
Phone 847-390-5900
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