Dr Kevin E Collins, DDS is a
Dentist based in Lagrange, Illinois. Dr Kevin E Collins is licensed to practice in Illinois (license number 1914819) and his current practice location is
475 W. 55th St., Suite 204, Lagrange, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 354-5575.
NPI number for Dr Kevin E Collins is 1972884955 and his current mailing address is 475 W. 55th St., Suite 204, Lagrange, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972884955.
Healthcare Provider's Profile
| Full Name | Dr Kevin E Collins |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
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| Location | 475 W. 55th St., Lagrange, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972884955
- Provider Enumeration Date: 09/02/2011
- Last Update Date: 09/02/2011
Medical Identifiers
Medical identifiers for Dr Kevin E Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972884955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 1914819 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kevin E Collins is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kevin E Collins, DDS
475 W. 55th St., Suite 204,
Lagrange, IL 60525-3566
Ph: (708) 354-5575 | Dr Kevin E Collins, DDS
475 W. 55th St., Suite 204,
Lagrange, IL 60525-3566
Ph: (708) 354-5575 |
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