Integrative Medical Associates of Rockford, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INTEGRATIVE MEDICAL ASSOCIATES OF ROCKFORD, LLC

Practice address

1639 N Alpine Rd
Suite 502
Rockford, IL 61107-1449

Phone

(815) 289-4697

NPI assigned

Jan 23, 2014

Last updated

Jan 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen T Nitz, PHYSICIAN

Title

Ceo

Phone

(815) 289-4697

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maegan Rozinsky, NBC-HWC, FMCHC

  • Health & Wellness Coach
  • Rockford, IL
  • NPI 1356050181
  NPD
• Laura Renee Dickerson, DNP, FNP-BC

  • Family Nurse Practitioner
  • Byron, IL
  • NPI 1710694401
  NPD (past)

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1164845459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 CUSHMAN CLOSE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146106",
            "telephone_number": "815-289-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 N ALPINE RD",
            "address_2": "SUITE 502",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071449",
            "telephone_number": "815-289-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL ASSOCIATES OF ROCKFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "NITZ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-289-4697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHYSICIAN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "036105695",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Health, SC
• Integrated Homecare Services
• Integrated Homecare Services, Inc.
• Integrative Family Healthcare
• Integrative Healing Center, LLC
• Integrative Medical of Rockford
• Integrative Rehabilitation Center, SC
• Integrative Rehabmedicine SC (Medlux Rehab & Wellness)
• Nolan Jacob Interial, DO
• International Dental Center

• Family Medicine Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.