COLLEEN M GRANDOWSKI


Address: 301 Madison St 300, Joliet, IL 60435-6549
Phone: 8157254367

COLLEEN M GRANDOWSKI (NPI# 1265768352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265768352
Entity Type Individual
Full Name COLLEEN M GRANDOWSKI
Credential ACNP
Practice Address 301 Madison St 300
Joliet
IL 60435-6549
Practice Telephone 8157254367
Practice Fax Number 8157737468
Mailing Telephone 8157254367
Mailing Fax Number 8157737468
Enumeration Date 2009-10-23
Last Update Date 2015-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
209007785 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL AMERICAN NURSES CREDENTIALING CENTER 2009006540 01

Office Location

Street Address 301 MADISON ST 300
City JOLIET
State IL
Zip Code 60435-6549

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750331690 Julie Frommelt Nurse Practitioner 301 N. Madison St, Ste 275, Joliet, IL 60435-6549 2006-05-11
1043536204 Jennifer L Besse Nurse Practitioner 333 Madison St, Joliet, IL 60435-8200 2010-04-13
1093864886 Patricia Cupuro Nurse Practitioner 333 Madison St, Joliet, IL 60435-8200 2007-01-09

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NPI Name Taxonomy Address Enumeration
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City JOLIET
Zip Code 60435

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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