Healthcare Provider Details

I. General information

NPI: 1114248028
Provider Name (Legal Business Name): COLLEEN PLEIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2010
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 E WOODFIELD RD
SCHAUMBURG IL
60173-4714
US

IV. Provider business mailing address

814 E WOODFIELD RD
SCHAUMBURG IL
60173-4714
US

V. Phone/Fax

Practice location:
  • Phone: 773-234-5880
  • Fax:
Mailing address:
  • Phone: 773-234-5880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number36136710
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: