Collaborative Medical Pllc

LBN: Collaborative Medical Pllc
Collaborative Medical Pllc is an health care organization with primary practice located at 1515 W Walnut St Ste 6 , Jacksonville IL 62650-1157. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Pain, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty. Collaborative Medical Pllc can be contacted via phone (217) 243-5313, or through Casey, James M via phone (217) 473-8265.

Contact Information

Primary practice address
1515 W Walnut St Ste 6 Jacksonville IL 62650-1157
Phone: (217) 243-5313
Fax: (217) 243-7608
Website:
Map and Directions
Authorized official contact:
Name: Casey, James M Doctor of Chiropractic (DC)
Phone: (217) 473-8265

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X
Ambulatory Health Care Facilities / Pain 261QP3300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1891494738
LBN Legal business name Collaborative Medical Pllc
DBA Doing business as
Authorized official Casey, James M Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2023
Last updated Feb 28th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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