Susan Marie Colegrove, M.D.
Individual provider Active NPI Psychiatry Physician · Romeoville, IL
NPI 1669835997 · NPPES record last updated Jun 15, 2022
Key facts
- NPI
- 1669835997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 036.147298 (IL)
- Practice address
- 1239 Windham Pkwy
Romeoville, IL 60446-1608 - Phone
- (815) 942-6323
- Fax
- (630) 226-9475
- NPI assigned
- Apr 4, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.147298 | IL | MD | Psychiatry Physician |
Interoperability endpoints
- scolegrove17884@uihealth.direct-ci.com
- scolegrove232037@dulyhealthandcare.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036.147298 | IL | Yes |
Addresses
Primary practice location
1239 Windham Pkwy
Romeoville, IL 60446-1608
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-0264
Phone (630) 469-9200
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | scolegrove232037@dulyhealthandcare.direct-ci.com |
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All providers in Romeoville, IL · Psychiatry Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.