Colletta, Kalea
Colletta, Kalea is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Colletta, Kalea can be contacted via phone (708) 216-6006.Contact Information
Primary practice address
2160 S 1St Ave
Maywood IL 60153-3328
Phone: (708) 216-6006
Fax: (708) 216-2683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 1063830917 | Illinois |
Profile Details
| NPI number | 1063830917 |
|---|---|
| LBN Legal business name | Colletta, Kalea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2014 |
| Last updated | Oct 25th, 2020 - 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.
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