Colontuono, Jill

Colontuono, Jill is an individual health care provider with primary practice located at 901 Macarthur Blvd , Munster IN 46321-2901. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Colontuono, Jill can be contacted via phone (219) 703-2755.

Contact Information

Primary practice address
901 Macarthur Blvd Munster IN 46321-2901
Phone: (219) 703-2755
Fax: (219) 703-6758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-005901 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 71004785A Indiana

Profile Details

NPI number 1619161916
LBN Legal business name Colontuono, Jill
Credentials NNP-BC, PNCB
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2007
Last updated Dec 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619161916 NPPES
Indiana MEDICAID 200927830

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