Collins, Mary B
Collins, Mary B is an individual health care provider with primary practice located at 5057 Shoreline Rd , Lake Barrington IL 60010-1700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Collins, Mary B can be contacted via phone (847) 381-5005.Contact Information
Primary practice address
5057 Shoreline Rd
Lake Barrington IL 60010-1700
Phone: (847) 381-5005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036064956 | Illinois |
Profile Details
| NPI number | 1760463111 |
|---|---|
| LBN Legal business name | Collins, Mary B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Sep 19th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760463111 | NPPES |
| Illinois | MEDICAID | 036064956 |
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