Organization Active NPI

Integrative Health Associates, LTD

  • Chiropractor
  • Romeoville, IL
National Provider Identifier
1083828230
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008510 Issued in IL
Legal business name
INTEGRATIVE HEALTH ASSOCIATES, LTD
Practice address
600 S Weber Rd
Suite 9a
Romeoville, IL 60446-5064
Phone
(815) 293-3000
Fax
(815) 372-9500
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Dr. Rashid A Abu-Shanab, D.C.NPI 1033298591
Title
Director
Phone
(815) 293-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038008510 IL Primary

Addresses

Primary practice location

600 S Weber Rd
Suite 9a
Romeoville, IL 60446-5064

Mailing address

600 S Weber Rd
Suite 9a
Romeoville, IL 60446-5064
Phone (815) 293-3000

Other identifiers 3

IdentifierTypeStateIssuer
038008510MedicaidIL
09932115OtherILBCBS
7562505OtherILAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040508000291 IL Part B Supplier - Clinic/Group Practice 6800885542 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford Park, IL

National Provider Directory

National Provider Directory

Locations

6801 W 73rd St
Unit 856
Bedford Park, IL 60499
Phone (708) 599-2874

7325 W 87th St
Bridgeview, IL 60455
Phone (708) 599-9250

600 S Weber Rd
Ste 9A
Romeoville, IL 60446
Phone (815) 293-3000

417 N Weber Rd
Romeoville, IL 60446
Phone (815) 293-3000

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1083828230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S WEBER RD",
            "address_2": "SUITE 9A",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465064",
            "telephone_number": "815-293-3000",
            "fax_number": "815-372-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S WEBER RD",
            "address_2": "SUITE 9A",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465064",
            "telephone_number": "815-293-3000",
            "fax_number": "815-372-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "ABU-SHANAB",
        "authorized_official_first_name": "RASHID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-293-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038008510",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09932115",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7562505",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.