COLLINS CLINICAL GROUP, P.C.
NPI 1649608191
Counselor - Professional in Chicago, IL
- Organization
- Counselor
- Professional
About COLLINS CLINICAL GROUP, P.C.
This page provides the complete NPI Profile along with additional information for Collins Clinical Group, P.c., a provider established in Chicago, Illinois operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1649608191 assigned on October 2013. The practitioner's primary taxonomy code is 101YP2500X with license number 180.008547 (IL). The provider is registered as an organization and their NPI record was last updated 7 years ago. Collins Clinical Group, P.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Caleb D Collins Lcpc (Owner)
- NPI
- 1649608191 Verify this NPI
- Provider Name
- COLLINS CLINICAL GROUP, P.C.
- Entity Type
- Organization
- Location Address
- 4433 N RAVENSWOOD AVE STE 210 CHICAGO, IL 60640
- Location Phone
- (312) 399-9601
- Location Fax
- (773) 944-1057
- Mailing Address
- 4433 N RAVENSWOOD AVE STE 210 CHICAGO, IL 60640
- Mailing Phone
- (312) 399-9601
- Mailing Fax
- (773) 944-1057
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-21-2013
- Last Update Date
- 02-18-2019
- Code Navigator
Location Map
Secondary Locations
- 4305 N Lincoln Ave Suite M
Chicago, IL 60618
(847) 208-7873
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180.008547
- License State
- IL
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
CHICAGO, IL 60640
CHICAGO, IL 60640
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649608191, enumerated as an "organization" on October 21, 2013.
The provider is located at 4433 N RAVENSWOOD AVE STE 210 CHICAGO, IL 60640 and the phone number is (312) 399-9601.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
