Individual
CAROL L COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7370 W TALCOTT AVE, CHICAGO, IL 60631-3751
(872) 226-2443
Mailing address
5435 N MAGNET AVE, CHICAGO, IL 60630-1217
(872) 226-2443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.008597
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070.008597
N/A
IL
Enumeration date
11/19/2019
Last updated
11/19/2019
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