Individual
DR. DIANNE COLLINS
Active
Individual
DR. DIANNE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-084725
IL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
036-084725
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-08725
ILLINOIS STATE LICENSE
IL
Enumeration date
03/30/2006
Last updated
03/24/2025
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