OrganizationActive
Collaborative Medical PLLC
NPI 1891494738 · Medical Specialty Clinic/Center · Jacksonville, IL
Provider details
- NPI number
- 1891494738
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- James Casey, Owner
Practice location
1515 W Walnut St Ste 6
Jacksonville, IL 62650-1157
Phone: (217) 243-5313
Fax: (217) 243-7608
Mailing address
1515 W Walnut St Ste 6
Jacksonville, IL 62650-1157
Registry dates
- Enumerated
- 2023-02-28
- Last updated
- 2024-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.