Provider Demographics
NPI:1891029146
Name:NASH, COLLEEN BRIDGET (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:BRIDGET
Last Name:NASH
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:165 N CANAL ST
Mailing Address - Street 2:UNIT 1320
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-1549
Mailing Address - Country:US
Mailing Address - Phone:312-559-1840
Mailing Address - Fax:
Practice Address - Street 1:5841 S MARYLAND AVE # MC6054
Practice Address - Street 2:UNIVERSITY OF CHICAGO MEDICINE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-1000
Practice Address - Fax:773-702-1196
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-18
Last Update Date:2021-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL0361303902080P0208X
IL125056108208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
No208000000XAllopathic & Osteopathic PhysiciansPediatrics