Individual provider · Type 1 NPI

Colleen Prouza

Student in an Organized Health Care Education/Training Program · Westchester, IL

NPI number 1134481583 Active

Practice location

9846 W Roosevelt Rd
Westchester, IL 60154-2759

Fax (708) 681-2383

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134481583

Colleen Prouza's National Provider Identifier is 1134481583, issued on Jun 12, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Westchester, IL. The record was last updated on Jun 12, 2012.