Individual
RUTH MARIE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
945 ELGIN AVE APT 2, FOREST PARK, IL 60130-2980
(828) 508-3186
Mailing address
945 ELGIN AVE APT 2, FOREST PARK, IL 60130-2980
(828) 508-3186
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1015647
IL
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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