Individual
MARY COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1030 W CHICAGO AVE, CHICAGO, IL 60642-5671
(312) 243-1574
Mailing address
1030 W CHICAGO AVE, CHICAGO, IL 60642-5671
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003761
IL
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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