Healthcare Provider Details

I. General information

NPI: 1518635952
Provider Name (Legal Business Name): COLBAR HEALTHCARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2021
Last Update Date: 08/31/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W 69TH ST
CHICAGO IL
60621-3719
US

IV. Provider business mailing address

1010 CHURCHILL DR
BOLINGBROOK IL
60440-1408
US

V. Phone/Fax

Practice location:
  • Phone: 773-487-1200
  • Fax:
Mailing address:
  • Phone: 630-312-8165
  • Fax: 630-296-0295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHERWONNA BARRON
Title or Position: OWNER
Credential: FNP-BC
Phone: 630-956-6493