Provider Demographics
NPI:1437136876
Name:COLEN, DARRYL H (DO)
Entity Type:Individual
Prefix:DR
First Name:DARRYL
Middle Name:H
Last Name:COLEN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:525 E CONGRESS PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-6258
Mailing Address - Country:US
Mailing Address - Phone:815-459-6780
Mailing Address - Fax:815-459-1648
Practice Address - Street 1:27790 W HIGHWAY 22
Practice Address - Street 2:SUITE 22
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-2340
Practice Address - Country:US
Practice Address - Phone:847-381-6700
Practice Address - Fax:847-381-6828
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2021-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036112773208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics