Jeffrey William Collins, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

038-003773 Issued in IL

Practice address

1772 W Golf Rd
Mt Prospect, IL 60056-4071

Phone

(847) 357-0001

NPI assigned

Jul 25, 2006

Reactivated

Jan 28, 2020

Last updated

Jan 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Collins Chiropractic and Wellness Center, PLLC

  • Nutrition Chiropractor
  • Mount Prospect, IL
  • NPI 1861057317
  NPD (past) Authorized official
• Jeffrey W. Collins, P.C.

  dba Collins Chiropractic Center

  • Nutrition Chiropractor
  • Mount Prospect, IL
  • NPI 1497974612
  Authorized official Same address or phone

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1770506586",
    "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": {
        "last_name": "COLLINS",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "deactivation_date": "2020-01-06",
        "reactivation_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038-003773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam S Cohen-Lewe, DO
• Allison C Cole-O'Hart
• Tanzania Cole
• Jeffrey Robert Coleman, RPH
• Collins Chiropractic and Wellness Center, PLLC
• Comfort Audio Inc.
• Competent Caregivers
• Competent Home Health Care Inc
• Rebecca Admire Connors
• Sue Coops

• Nutrition Chiropractor in Mount Prospect, IL
• Providers in Mount 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 Jan 28, 2020; 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.