Grandowski, Colleen M

Grandowski, Colleen M is an individual health care provider with primary practice located at 21202 Owens Rd Ste 101 , Mokena IL 60448-2001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Grandowski, Colleen M can be contacted via phone (779) 334-0030.

Contact Information

Primary practice address
21202 Owens Rd Ste 101 Mokena IL 60448-2001
Phone: (779) 334-0030
Fax: (779) 334-0031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209007785 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 277000793 Illinois

Profile Details

NPI number 1265768352
LBN Legal business name Grandowski, Colleen M
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2009
Last updated Jan 17th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265768352 NPPES
Illinois Other 2009006540 AMERICAN NURSES CREDENTIALING CENTER

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