RYAN COLLINS

EVANSTON, IL
NPI1144513920
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.001796)
Enumeration Date2011-05-26
Last Update Date2011-05-26
Business Address
-- RYAN COLLINS
1501 CENTRAL ST
EVANSTON, IL 60208-0840
Phone number: 847-467-1903
Mailing Address
-- RYAN COLLINS
1831 W MELROSE ST
CHICAGO, IL 60657-2001
Phone number: 847-467-1903
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