Organization · Type 2 NPI
Collaborative Medical PLLC
Medical Specialty Clinic/Center · Jacksonville, IL
Practice location
1515 W Walnut St Ste 6
Jacksonville, IL 62650-1157
Fax (217) 243-7608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
| Pain Clinic/Center | 261QP3300X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Medical Specialty Clinic/Center: 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).
2 other providers at this address
Other medical specialty clinic/center providers in Jacksonville
About NPI 1891494738
Collaborative Medical PLLC's National Provider Identifier is 1891494738, issued on Feb 28, 2023. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Jacksonville, IL. The record was last updated on Aug 23, 2024.