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Individual

DR. CHRISTOPHER D COLLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8600 N STATE ROUTE 91, SUITE 250, PEORIA, IL 61615-9541
(309) 692-5393
(309) 692-2538
Mailing address
8600 N STATE ROUTE 91, SUITE 250, PEORIA, IL 61615-9541
(309) 692-5393
(309) 692-2538

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036079864
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036079864
IL
207Q00000X
Family Medicine Physician
036079864
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036079864
IL
Enumeration date
10/20/2005
Last updated
08/05/2010
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