IndividualActive
Colleen White
NPI 1154072940 · Contractor · Chicago, IL
Provider details
- NPI number
- 1154072940
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
11235 S Maplewood Ave
Chicago, IL 60655-1420
Registry dates
- Enumerated
- 2022-01-12
- Last updated
- 2022-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.