Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 036118702 | IL |
N | 2080P0201X | Pediatric Allergist | 35084568 | OH |
NPI | 1891863411 |
---|---|
Provider Name | Ann Renee Collier |
First Address | Oak Brook, IL 60523-1806 |
Second Address | Oak Brook, IL 60523-1806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 28/12/2007 |