Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLLEEN CLESEN, NDTR
Active136A00000X · BATAVIA, IL
Registration Details
- NPI Number
- 1760238299
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2024 (1.9927239866943 yrs)
- Last Updated
- Apr 25, 2024
- License
-
86081341 (IL)
Practice Information
- Address
-
14 N ISLAND AVEBATAVIA, IL, 605101929Browse IL providers · Browse ZIP 60510
- Phone
- 6304792086
- Primary Specialty
-
136A00000X
136A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.