Search › Illinois › 103T00000X
R. Mccollum, PHD
NPI 1740319821 · on the registry since 2007
Practice
- Address
- 2101 47th St
Moline, IL 61265 - Phone
- (309) 762-3931
- Fax
- (309) 762-4938
- Organisation at this address
- Mccollum Psychology, Pc
Advanced Foot & Ankle Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103T00000X
103TC2200X - Licence states on file
- IA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois