Ryan Philip Collins
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Homer Glen, IL
NPI 1902240252 · NPPES record last updated Apr 17, 2013
Key facts
- NPI
- 1902240252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 14564 S Mallard LN
Homer Glen, IL 60491-9269 - Phone
- (708) 712-3076
- NPI assigned
- Apr 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
14564 S Mallard LN
Homer Glen, IL 60491-9269
Mailing address
14564 S Mallard LN
Homer Glen, IL 60491-9269
Phone (708) 712-3076
Other providers in Homer Glen, IL
- Julianne R Chlipala
- Angela Ciarlette
- Kristin Cobb
- Cassandra Coleman
- Colin Collery
- Compliant Sleep Solutions-Converging Sleep Networks LLC
- Bridget Anne Connelly
- Julie Conrad
- Jessica Phillis Cooper
- Kathleen Copen
All providers in Homer Glen, IL · Student in an Organized Health Care Education/Training Program in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.