Individual
RYAN COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 CENTRAL ST, EVANSTON, IL 60208-0840
(847) 467-1903
Mailing address
1831 W MELROSE ST, CHICAGO, IL 60657-2001
(847) 467-1903
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.001796
IL
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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