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Search › Illinois › 207Q00000X

Jessica Colanese, MD

NPI 1720341761 · on the registry since 2012

Practice

Address
310 W Losey St
Scott Afb, IL 62225
Phone
(618) 256-7804
Organisation at this address
Dfas-Jfll/In
375th Medgrp-Scott
375th Medgrp-Scott
375th Medgrp-Scott
United States Air Force
Inferred from a shared address, not stated in the registry.
Clinicians at this address
114

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-04-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois