Provider Demographics
NPI:1891863411
Name:COLLIER, ANN RENEE (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:RENEE
Last Name:COLLIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 OAKBROOK CTR
Mailing Address - Street 2:SUITE 424
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1806
Mailing Address - Country:US
Mailing Address - Phone:630-574-0460
Mailing Address - Fax:630-574-0470
Practice Address - Street 1:120 OAKBROOK CTR
Practice Address - Street 2:SUITE 424
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1806
Practice Address - Country:US
Practice Address - Phone:630-574-0460
Practice Address - Fax:630-574-0470
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH350845682080P0201X
IL036118702207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology