| 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 |