Provider Demographics
NPI:1326319468
Name:COLETTI, ARIANA (DC)
Entity Type:Individual
Prefix:DR
First Name:ARIANA
Middle Name:
Last Name:COLETTI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 W WRIGHTWOOD AVE # 3W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-1314
Mailing Address - Country:US
Mailing Address - Phone:401-486-9850
Mailing Address - Fax:
Practice Address - Street 1:500 N DEARBORN ST STE 700
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-3397
Practice Address - Country:US
Practice Address - Phone:737-683-2201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-20
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012633111N00000X
CA32147111N00000X
RIDCP00614111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty