Organization
KEVIN E COLLINS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN E COLLINS DDS (PRESIDENT)
(708) 354-5575
Entity
Organization
Contact information
Practice address
475 W 55TH STREET, SUITE 204, LAGRANGE, IL 60525-3566
(708) 354-5575
(708) 354-5504
Mailing address
475 W 55TH STREET, SUITE 204, LAGRANGE, IL 60525-3566
(708) 354-5575
(708) 354-5504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1914819
IL
Other
Enumeration date
11/24/2006
Last updated
08/22/2020
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