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Search › Illinois › 183500000X

Ivan Colorato

NPI 1891088738 · on the registry since 2011 · sole proprietor

Practice

Address
314 W Army Trail Rd
Bloomingdale, IL 60108
Phone
(630) 893-5382
Organisation at this address
Walmart Inc.
Wal-Mart Stores Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-01-16

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