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1558345934

NPI Code Detail

MEDICARE: DR. KEVIN P COLLINS M.D.

MEDICARE: DR. KEVIN P COLLINS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	0036-098097	IL
2	207P00000X	Emergency Medicine Physician	41764	CO
3	207P00000X	Emergency Medicine Physician	61354-20	WI
4	207P00000X	Emergency Medicine Physician	01054196A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558345934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN P COLLINS M.D.

Provider Business Mailing Address
First Line	:	801 S WASHINGTON ST
Second Line	:	EMERGENCY SERVICES ADMINISTRATION
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-7430
Country	:	US
Telephone Number	:	630-527-5144
Fax Number	:	630-548-7762

Provider Business Practice Location Address
First Line	:	801 S WASHINGTON ST
Second Line	:	EMERGENCY SERVICES ADMINISTRATION
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-7430
Country	:	US
Telephone Number	:	630-527-5144
Fax Number	:	630-548-7762

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	10/09/2025

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Directions to “ DR. KEVIN P COLLINS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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