Individual provider Active NPI

Eileen M. Collins, M.D.

  • Internal Medicine Physician
  • Lombard, IL
National Provider Identifier
1851359103
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-093296 Issued in IL
Practice address
2340 S Highland Ave
Suite 210
Lombard, IL 60148-5371
Phone
(630) 932-2020
Fax
(630) 932-4688
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-093296 IL Primary

Addresses

Primary practice location

2340 S Highland Ave
Suite 210
Lombard, IL 60148-5371

Mailing address

1860 Paysphere Cir Ste 210
Chicago, IL 60674-5371
Phone (630) 469-2000

Other identifiers 1

IdentifierTypeStateIssuer
036-093296MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ecollins35615@dulyhealthandcare.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309001022 IL Practitioner - Internal Medicine 0941198071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

2340 S Highland Ave
Lombard, IL 60148-5371
Phone (630) 545-6016

Hospital & facility affiliations

  • Astra Health Home health agency, Harwood Heights, IL, CCN 148259
  • Residential Home Health Home health agency, Lisle, IL, CCN 147568
  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288
  • Edward Hospital Hospital, Naperville, IL, CCN 140231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-093296ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Jan 1, 2014 Accepting new patients
Dupage Medical Group LTD CurrentSince Jan 1, 2014 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Ste 210
Chicago, IL 60674

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

2340 S Highland Ave
Ste 210
Lombard, IL 60148
Phone (630) 932-2020

2340 S Highland Ave
Lombard, IL 60148
Phone (630) 495-3338

675 W North Ave
Ste 303
Melrose Park, IL 60160
Phone (708) 450-5060

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

6733 Kingery Hwy
Willowbrook, IL 60527
Phone (630) 325-4049

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1851359103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606745371",
            "telephone_number": "630-469-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE",
            "address_2": "SUITE 210",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485371",
            "telephone_number": "630-932-2020",
            "fax_number": "630-932-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "EILEEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-093296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-093296",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecollins35615@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "2340 S Highland Ave",
            "address_2": "Suite 210",
            "city": "Lombard",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601485371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.