JUSTIN P COLANESE

FAIRVIEW HEIGHTS MEDICAL GROUP SC

Dr JUSTIN P COLANESE is a male medical professional, specializing in Orthopedic Surgery. He graduated in 2011 from Indiana University School Of Medicine.

Contact

FAIRVIEW HEIGHTS MEDICAL GROUP SC

155 E BETHALTO DR
BETHALTO
IL
620101801

Tel: 6186323343

JUSTIN P COLANESE Information

Npi 1104115542
Pac Id 7214238468
Professional Enrollment Id I20170823003893
Last Name COLANESE
First Name JUSTIN
Middle Name P
Suffix
Gender M
Credential
Medical School Name INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2011
Primary Specialty ORTHOPEDIC SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FAIRVIEW HEIGHTS MEDICAL GROUP SC
Group Practice Pac Id 6800784083
Number Of Group Practice Members 206
Line 1 Street Address 155 E BETHALTO DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BETHALTO
State IL
Zip Code 620101801
Phone Number 6186323343
Hospital Affiliation Ccn 1 140185
Hospital Affiliation Lbn 1 MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 140307
Hospital Affiliation Lbn 2 METRO-EAST SERVICES INC
Hospital Affiliation Ccn 3 140187
Hospital Affiliation Lbn 3 HSHS ST ELIZABETH'S HOSPITAL
Hospital Affiliation Ccn 4 141349
Hospital Affiliation Lbn 4 SPARTA COMMUNITY HOSPITAL
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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