Individual
ROGER BARRETT COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 N GREENLEAF ST, GURNEE, IL 60031-3326
(847) 623-3090
(847) 623-9620
Mailing address
105 N GREENLEAF ST, GURNEE, IL 60031-3326
(847) 623-3090
(847) 623-9620
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04915144
BCBS OF ILLINOIS
IL
Enumeration date
10/31/2005
Last updated
03/11/2008
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