Provider Demographics
NPI:1801942099
Name:TOMKINS, LOUISE COLLUMS (MD)
Entity type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:COLLUMS
Last Name:TOMKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:444 SKOKIE BLVD
Mailing Address - Street 2:360
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-3086
Mailing Address - Country:US
Mailing Address - Phone:847-256-9199
Mailing Address - Fax:847-835-5038
Practice Address - Street 1:444 SKOKIE BLVD
Practice Address - Street 2:360
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-3086
Practice Address - Country:US
Practice Address - Phone:847-256-9199
Practice Address - Fax:847-835-5038
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-00602282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
K47053Medicare PIN
ILC45289Medicare UPIN