Individual
DR. MARY B COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5057 SHORELINE RD, LAKE BARRINGTON, IL 60010-1700
(847) 381-5005
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036064956
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064956
—
IL
Enumeration date
11/10/2005
Last updated
09/19/2022
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