Organization
COLLABORATIVE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M CASEY DC (OWNER)
(217) 473-8265
Entity
Organization
Contact information
Practice address
1515 W WALNUT ST STE 6, JACKSONVILLE, IL 62650-1157
(217) 243-5313
(217) 243-7608
Mailing address
1515 W WALNUT ST STE 6, JACKSONVILLE, IL 62650-1157
(217) 243-5313
(217) 243-7608
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/28/2023
Last updated
08/23/2024
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