Provider Demographics
NPI:1285767749
Name:ROHRBACHER, COLLEEN MUIR (RN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:MUIR
Last Name:ROHRBACHER
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 W CHERYL LN
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-6806
Mailing Address - Country:US
Mailing Address - Phone:847-934-0178
Mailing Address - Fax:847-934-0178
Practice Address - Street 1:264 W CHERYL LN
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-6806
Practice Address - Country:US
Practice Address - Phone:847-934-0178
Practice Address - Fax:847-934-0178
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5506-2245OtherIBT