Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 036-128467 | IL |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 01070578A | IN |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 036.128467 | IL |
N | 207VG0400X | Gynecologist | 01070578A | IN |
N | 207VG0400X | Gynecologist | 036128467 | IL |
NPI | 1942401948 |
---|---|
Provider Name | Dr. Sarah Abbie Collins |
First Address | Chicago, IL 60611-2914 |
Second Address | Chicago, IL 60611-2914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 13/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036128467 | (05) | IL |
216285207 | (02) | IL |
522600670 | (02) | IN |