Active NPI
Integrative Medical Care PC
- General Practice Physician
- Wheaton, IL
National Provider Identifier
1255866976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- INTEGRATIVE MEDICAL CARE PC
- Practice address
- 1749 S Naperville Rd Ste 205
Wheaton, IL 60189-5892 - Phone
- (630) 460-6733
- Fax
- (630) 752-1222
- NPI assigned
- May 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olga Roshior
- Title
- President
- Phone
- (630) 460-6733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1749 S Naperville Rd Ste 205
Wheaton, IL 60189-5892
Mailing address
1749 S Naperville Rd Ste 205
Wheaton, IL 60189-5892
Phone (630) 460-6733
National Provider Directory
National Provider DirectoryLocations
1749 S Naperville Rd
Ste 205
Wheaton, IL 60189
Phone (630) 460-6733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493596800000",
"number": "1255866976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 S NAPERVILLE RD STE 205",
"city": "WHEATON",
"state": "IL",
"postal_code": "601895892",
"telephone_number": "630-460-6733",
"fax_number": "630-752-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 S NAPERVILLE RD STE 205",
"city": "WHEATON",
"state": "IL",
"postal_code": "601895892",
"telephone_number": "630-460-6733",
"fax_number": "630-752-1222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE MEDICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-01",
"last_updated": "2017-05-01",
"status": "A",
"authorized_official_last_name": "ROSHIOR",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-460-6733"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.