| Doctor Name: | MS. GRISEL COLON |
| NPI Number: | 1235548181 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BSN ,CM |
| License Number: | 041211547 |
| Business Practice Address: | 114 Honey Hill Dr Wauconda, IL - 600841712 |
| Business Phone Number: | 7733201035 |
| Business Fax Number: | 3123470061 |
| Mailing Address: | 114 Honey Hill, WAUCONDA |
| State: | IL |
| Postal Code: | 60084 |
| Phone Number: | 7733201035 |
| Fax Number: | 3123470061 |
| NPI Enumeration Date: | 08/05/2014 |
| NPI Last Update Date: | 08/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA0400X |
| License Number: | 041211547 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |