Individual provider Active NPI

Thomas N Collins, D.C.

  • Occupational Health Chiropractor
  • Wilmette, IL
National Provider Identifier
1487799581
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
Practice address
901 Ridge Rd
Wilmette, IL 60091-1559
Phone
(847) 256-9906
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X IL Primary

Addresses

Primary practice location

901 Ridge Rd
Wilmette, IL 60091-1559

Mailing address

901 Ridge Rd
Wilmette, IL 60091-1559
Phone (847) 256-9906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071121000241 IL Practitioner - Chiropractic 5193813327 Reassigns benefits to 1 organization
Practice locations: Wilmette, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pri Chicago PLLC CurrentSince Jan 13, 2022 Accepting new patients
Premiere Anesthesia Group LLC PastSince Jul 1, 2016 Accepting new patients
Ridgewellness Center PastSince Jan 1, 1990 Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients

Locations

188 W Industrial Dr
Ste 110
Elmhurst, IL 60126
Phone (331) 979-7475

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487799581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RIDGE RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911559",
            "telephone_number": "847-256-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIDGE RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911559",
            "telephone_number": "847-256-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "THOMAS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.