Collins, Timothy John

Collins, Timothy John is an individual health care provider with primary practice located at 600 W Ogden Ave , Hinsdale IL 60521. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Collins, Timothy John can be contacted via phone (630) 325-9630.

Contact Information

Primary practice address
600 W Ogden Ave Hinsdale IL 60521
Phone: (630) 325-9630
Fax: (630) 325-9648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Illinois

Profile Details

NPI number 1376644435
LBN Legal business name Collins, Timothy John
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376644435 NPPES
Illinois Other P00288739 RR MEDICARE

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