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NPI Code Detail

MEDICARE: COLETTE KALLINA-TRAN

MEDICARE: COLETTE KALLINA-TRAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1508714478
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLETTE KALLINA-TRAN
Provider Business Mailing Address
First Line : 3506 GREEN BAY RD APT 101A
Second Line :
City : NORTH CHICAGO
State : IL
Zip : 60064-3651
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3333 GREEN BAY RD
Second Line :
City : NORTH CHICAGO
State : IL
Zip : 60064-3037
Country : US
Telephone Number : 847-578-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ COLETTE KALLINA-TRAN ” Practice Location

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