Collins, Towanda

Collins, Towanda is an individual health care provider with primary practice located at 12421 S Racine Ave , Calumet Park IL 60827-5817. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Collins, Towanda can be contacted via phone (708) 489-2639.

Contact Information

Primary practice address
12421 S Racine Ave Calumet Park IL 60827-5817
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1700903150
LBN Legal business name Collins, Towanda
Credentials OTR L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
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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