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Individual
DR. RONALD BENJAMIN COLLINS JR.
Active
Individual
DR. RONALD BENJAMIN COLLINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125050346
IL
207R00000X
Internal Medicine Physician
Primary
39422
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119753
—
IL
05
—
1669420501
—
IA
01
—
809840
MEDICARE GROUP PTAN
IL
01
—
CA4079
RR MEDICARE GROUP PTAN
IL
01
—
I17380
MEDICARE PTAN
IA
01
—
P00617107
RR MEDICARE MEMBER PTAN
IL
Enumeration date
05/29/2007
Last updated
01/28/2026
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