Doctor Name: | MS. COLLEEN MCKEOWN |
NPI Number: | 1366602252 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., FNP-BC, IBCLC |
License Number: | 041-216503 |
Business Practice Address: | 365 Carla Dr South Elgin, IL - 601771505 |
Business Phone Number: | 8479312438 |
Business Fax Number: | |
Mailing Address: | 365 Carla Dr, SOUTH ELGIN |
State: | IL |
Postal Code: | 601771505 |
Phone Number: | 8479312438 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2008 |
NPI Last Update Date: | 04/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 041-216503 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |