MEDICARE: JAMES JOSEPH COLLINS MD

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	207R00000X	Internal Medicine Physician	036061474	IL

General Provider Information

NPI Number	:	1225066020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES JOSEPH COLLINS MD

Provider Business Mailing Address
First Line	:	1860 PAYSPHERE CIR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-0018
Country	:	US
Telephone Number	:	630-355-6200
Fax Number	:	630-355-6216

Provider Business Practice Location Address
First Line	:	640 S WASHINGTON ST
Second Line	:	268
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-6603
Country	:	US
Telephone Number	:	630-355-6200
Fax Number	:	630-355-6216

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	09/21/2012

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