COLLIN INNIS

PEORIA, IL
NPI1437788858
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: NC  2025-01654)
Enumeration Date2020-04-07
Last Update Date2026-01-15
Business Address
COLLIN INNIS
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-3598
Mailing Address
COLLIN INNIS
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-3598
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