Bird, Colleen

Bird, Colleen is an individual health care provider with primary practice located at 2631 Williamsburg Ave Ste 302 , Geneva IL 60134-1128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bird, Colleen can be contacted via phone (630) 377-8500.

Contact Information

Primary practice address
2631 Williamsburg Ave Ste 302 Geneva IL 60134-1128
Phone: (630) 377-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001730 Illinois

Profile Details

NPI number 1356367601
LBN Legal business name Bird, Colleen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Feb 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356367601 NPPES
Illinois Other 206147 MEDICARE PTAN (GROUP)
Illinois Other 206147103 MEDICARE PTAN (GROUP)
Illinois Other P01209459 MEDICARE PTAN (GROUP)
Illinois Other CA4748 MEDICARE PTAN (GROUP)

Popular Providers