| 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 |