Kevin E Collins Dds Pc | |
475 W 55th Street Suite 204 Lagrange IL 60525-3566 | |
(708) 354-5575 | |
(708) 354-5504 |
Full Name | Kevin E Collins Dds Pc |
---|---|
Speciality | Dentist |
Location | 475 W 55th Street, Lagrange, Illinois |
Authorized Official Name and Position | Kevin E Collins (PRESIDENT) |
Authorized Official Contact | 7083545575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kevin E Collins Dds Pc 475 W 55th Street Suite 204 Lagrange IL 60525-3566 Ph: (708) 354-5575 | Kevin E Collins Dds Pc 475 W 55th Street Suite 204 Lagrange IL 60525-3566 Ph: (708) 354-5575 |
NPI Number | 1912073768 |
---|---|
Provider Enumeration Date | 11/24/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912073768 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1914819 (Illinois) | Primary |