IndividualActive
Kevin Collins, D.D.S.
NPI 1972884955 · Dentist · Lagrange, IL
Provider details
- NPI number
- 1972884955
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 1914819 (IL)
Specialties & taxonomies
Dental Providers
Practice location
475 W. 55th St.
Suite 204
Lagrange, IL 60525-3566
Phone: (708) 354-5575
Fax: (708) 354-5504
Approximate (ZIP-level) locationGet directions
Mailing address
475 W. 55th St.
Lagrange, IL 60525-3566
Registry dates
- Enumerated
- 2011-09-02
- Last updated
- 2011-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.