Integrated Services Incorporated of the Midwest

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

036-058861 Issued in IL

Legal business name

INTEGRATED SERVICES INCORPORATED OF THE MIDWEST

Practice address

582 N Seminary St
Galesburg, IL 61401-3739

Phone

(309) 343-9393

Fax

(309) 343-2107

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter D Hauslein, M.D.NPI 1689675118

Title

Doctor

Phone

(309) 343-9393

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Peter Dawson Hauslein, MD

  • Otolaryngology Physician
  • Galesburg, IL
  • NPI 1689675118
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1093856932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 N SEMINARY ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614013739",
            "telephone_number": "309-343-9393",
            "fax_number": "309-343-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 N SEMINARY ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614013739",
            "telephone_number": "309-343-9393",
            "fax_number": "309-343-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SERVICES INCORPORATED OF THE MIDWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "HAUSLEIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "309-343-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036-058861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hy-Vee Inc
• Illinois Medicaid-Substance Abuse Galesburg
• In Focus Optical
• Natalie J Ince, APRN
• Courtney Nichole Inness
• Monica Lynn Interial, APN
• Haley Ischer
• Khushbu Italia, PHARM.D
• J & S Kelly Galesburg L.L.C.
• J a K Enterprises Inc

• Otolaryngology Physician in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.