Healthcare Provider Details

I. General information

NPI: 1033043989
Provider Name (Legal Business Name): ALEIYA COLLINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 PARK ST STE 190
NAPERVILLE IL
60563-6713
US

IV. Provider business mailing address

1717 PARK ST STE 190
NAPERVILLE IL
60563-6713
US

V. Phone/Fax

Practice location:
  • Phone: 331-444-2618
  • Fax: 844-802-2872
Mailing address:
  • Phone: 331-444-2618
  • Fax: 844-802-2872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number150118294
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: