Individual
COLLEEN ELIZABETH DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
11145 ABBOTSFORD PL, BELVIDERE, IL 61008-8169
(815) 621-7107
(815) 636-4486
Mailing address
11145 ABBOTSFORD PL, BELVIDERE, IL 61008-8169
(815) 621-7107
(815) 636-4486
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D20010584614
IL
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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