Individual
ELIZABETH ANN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, LOYOLA OUTPATIENT CENTER, 4300, MAYWOOD, IL 60153-3328
(708) 216-6006
(708) 216-2683
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-6006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125064752
IL
207RP1001X
Pulmonary Disease Physician
Primary
036143773
IL
Other
Enumeration date
04/15/2014
Last updated
04/06/2021
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