COLLABORATIVE MEDICAL PLLC
NPI 1891494738
Clinic/Center - Medical Specialty in Jacksonville, IL

Active since February 28, 2023
1515 W WALNUT ST STE 6, JACKSONVILLE, IL 62650(217) 243-5313(217) 243-7608 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2024, Feb 28, 2023 (2 updates tracked since 2023).

About Collaborative Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLABORATIVE MEDICAL PLLC (NPI 1891494738) is a healthcare organization registered as a medical specialty in Jacksonville, Illinois and active in the NPI registry since February 2023. The organization lists James M Casey, Owner, as its authorized official.

NPPES Registry Identity

NPI1891494738
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCOLLABORATIVE MEDICAL PLLC
Location Address1515 W WALNUT ST STE 6Jacksonville, IL 62650-1157
Mailing Address1515 W Walnut St Ste 6Jacksonville, IL 62650-1157 · (217) 243-5313 · Fax (217) 243-7608
Fax(217) 243-7608
Organization SubpartNo
Authorized OfficialJames M CaseyOwner · (217) 473-8265
Enumeration DateFebruary 28, 2023
Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
NPI 1891494738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedClinic/Center · PainTaxonomy 261QP3300X
Also ListedNurse PractitionerTaxonomy 363L00000X
1515 W WALNUT ST STE 6, Jacksonville, IL 62650

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1515 W WALNUT ST STE 6
JACKSONVILLE, IL 62650
Chiropractor
1515 W WALNUT ST STE 6
JACKSONVILLE, IL 62650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collaborative Medical PLLC's NPI number?

The NPI number for Collaborative Medical PLLC is 1891494738. It was assigned to this organization in the NPPES registry on February 28, 2023.

Where is Collaborative Medical PLLC located?

Collaborative Medical PLLC is located at 1515 W Walnut St Ste 6, Jacksonville, IL 62650. The listed phone number is (217) 243-5313.

What is Collaborative Medical PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Collaborative Medical PLLC was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.