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Mrs. Colleen Prouza
Student in an Organized Health Care Education/Training Program in Westchester, Illinois
NPI 1134481583

Colleen Prouza is a Student in an Organized Health Care Education/Training Program based in Westchester, IL. Colleen Prouza practices in Westchester, IL. The NPI Number for Colleen Prouza is 1134481583 and holds a License No. (Illinois).

The current practice location address for Colleen Prouza is 9846 W Roosevelt Rd, Westchester, IL and can be reached out via phone at 708-681-2325 and via fax at 708-681-2383.

Location: 9846 W Roosevelt Rd, Westchester, IL, 60154-2759
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134481583
Provider Name
Colleen Prouza
Credential
Provider Entity Type
Individual
Gender
Female
Address
9846 W Roosevelt Rd, Westchester, IL, 60154-2759
Phone Number
708-681-2325
Fax Number
708-681-2383
Provider Enumeration Date
06/12/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9846 W Roosevelt Rd
City
Westchester
State
Illinois
Zip
60154-2759
Phone Number
708-681-2325
Fax Number
708-681-2383
person
Provider Business Mailing Address Details
Address
9846 W Roosevelt Rd
City
Westchester
State
Illinois
Zip
60154-2759
Phone Number
708-681-2325
Fax Number
708-681-2383
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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