Individual
COLLIN SHANLEY MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 433-3100
Mailing address
525 HOUSTON ST, OTTAWA, IL 61350-3528
(219) 669-3378
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009935
IL
Other
Enumeration date
03/31/2023
Last updated
12/23/2024
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