Individual
TIMOTHY JOHN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
600 W OGDEN AVE, HINSDALE, IL 60521
(630) 325-9630
(630) 325-9648
Mailing address
810 NORTH ILLINOIS ST, PLAINFIELD, IL 60544
(815) 919-3662
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00288739
RR MEDICARE
IL
Enumeration date
09/25/2006
Last updated
07/08/2007
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