NPI 1003941113

Tanner L Colegrove, MD

Practitioner Obstetrics & Gynecology Physician Lake Forest, IL

Practice location

Address: 900 N Westmoreland Rd Suite # 207, Lake Forest, IL 60045-1674
Phone: (847) 234-9110
Fax: (847) 234-0900

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in Illinois →

Registry record

NPI: 1003941113
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.