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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COLLABORATIVE MEDICAL PLLC

Active Organization

COLLABORATIVE MEDICAL PLLC is a Medical Specialty Clinic organization located in JACKSONVILLE, Illinois. NPI 1891494738 is currently active in the NPPES registry. Verify at CMS.

Medical Specialty Clinic · JACKSONVILLE, IL

Registration Details

NPI Number
1891494738
Provider Type
Organization
NPI Issued
Feb 28, 2023 (3.2731553088523 yrs)
Last Updated
Aug 23, 2024

Practice Information

Address
1515 W WALNUT ST STE 6
JACKSONVILLE, IL, 626501157
Browse IL providers · Browse ZIP 62650
Phone
2172435313
Fax
2172437608
Primary Specialty
Medical Specialty Clinic
261QM2500X
Additional Specialty
Nurse Practitioner
Additional Specialty
Medical Specialty Clinic

Other Medical Specialty Clinic Organizations in JACKSONVILLE, IL

Name NPI
JACKSONVILLE IL WELLNESS 1922682822
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.