COLLINS CLINICAL GROUP P.C. NPI 1649608191

NPI Information

NPI: 1649608191
Provider Name: COLLINS CLINICAL GROUP, P.C.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
4433 N RAVENSWOOD AVE STE 210
CHICAGO, IL
ZIP 60640
Phone: (312) 399-9601
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COLLINS CLINICAL GROUP, P.C. is a professional counselor in Chicago, IL. COLLINS CLINICAL GROUP, P.C. NPI is 1649608191. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4433 N RAVENSWOOD AVE STE 210
CHICAGO, IL
ZIP 60640-755
Phone: (312) 399-9601
Fax: (773) 944-1057

The provider's authorized official is Caleb D Collins .
The authorized official title is Owner and has the following contact phone number (312) 399-9601.

The enumeration date for this NPI number is 10/21/2013 and was last updated on 2/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180.008547	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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