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Jerome N Colletti

Pharmacist in Park Ridge, IL. Individual provider (NPI-1).

NPI number1427405802
StatusActive
Last updated in NPPESMay 16, 2016

Details

NPI
1427405802
Entity type
Individual (NPI-1)
Name
Jerome N Colletti
Sex
Male
Sole proprietor
No
Enumeration date
May 16, 2016
Last updated
May 16, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist051.034929ILYes

Practice location

481 Busse Hwy
Park Ridge, IL 60068-3252

Phone 847-696-4315 · Fax 847-696-0411

Mailing address

481 Busse Hwy
Park Ridge, IL 60068-3252

Phone 847-696-4315 · Fax 847-696-0411

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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