Organization Active NPI

Healthworks Integrative Medical Clinic

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1073799771
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
336-042392 Issued in IL
Legal business name
HEALTHWORKS INTEGRATIVE MEDICAL CLINIC
Practice address
1165 N Clark St
Suite 608
Chicago, IL 60610-2702
Phone
(312) 255-9444
Fax
(312) 255-9446
NPI assigned
Jan 14, 2008
Last updated
Jan 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David J. Zeiger, D.O.
Title
Medical Director
Phone
(312) 255-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 336-042392 IL Primary

Addresses

Primary practice location

1165 N Clark St
Suite 608
Chicago, IL 60610-2702

Mailing address

1165 N Clark St
Suite 608
Chicago, IL 60610-2702
Phone (312) 255-9444

National Provider Directory

National Provider Directory
Tax ID family
Healthworks Integrative Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1165 N Clark St
Ste 608
Chicago, IL 60610
Phone (312) 255-9444

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1073799771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 N CLARK ST",
            "address_2": "SUITE 608",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102702",
            "telephone_number": "312-255-9444",
            "fax_number": "312-255-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N CLARK ST",
            "address_2": "SUITE 608",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102702",
            "telephone_number": "312-255-9444",
            "fax_number": "312-255-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWORKS INTEGRATIVE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "ZEIGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "312-255-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "336-042392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.