Jeffrey W. Collins, P.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

038-003773 Issued in IL

Legal business name

JEFFREY W. COLLINS, P.C.

Doing business as

Collins Chiropractic Center

Practice address

1772 W Golf Rd
Mt Prospect, IL 60056-4071

Phone

(847) 357-0001

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey William Collins, D.C.

Title

President

Phone

(847) 357-0001

Specialties & licenses 2

Addresses

Other names 1

• Collins Chiropractic Center Doing business as

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1497974612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 W GOLF RD",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600564071",
            "telephone_number": "847-357-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 W GOLF RD",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600564071",
            "telephone_number": "847-357-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY W. COLLINS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-357-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038-003773",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038-003773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collins Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Jacob
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• Vidhi Jain
• James J. Nuzzo DPM SC
• Janusz Mejer MD, SC.
• Fred Jendo, C.S.A.
• Robert Carl Jespersen, M.D.
• Sogol Jahedi Jimenez, MD
• JM Supplies Inc
• JM Supplies Inc

• Nutrition Chiropractor in Mt Prospect, IL
• Providers in Mt Prospect, IL by specialty
• Nutrition Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.