Individual
NICOLE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 LEWIS ROAD, GENEVA, IL 60134
(630) 207-2608
Mailing address
1125 LEWIS RD, GENEVA, IL 60134-3573
(630) 207-2608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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