Individual
ERIN L COLLINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
101 E PLUMMER BLVD, CHATHAM, IL 62629-8047
(217) 483-3487
(217) 483-8150
Mailing address
1811 S COG MILL CT, SPRINGFIELD, IL 62704-6468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209017628
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.367612
RN LICENSE
IL
Enumeration date
05/11/2018
Last updated
04/26/2024
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