Organization Active NPI

Integrative Medical Care PC

  • General Practice Physician
  • Wheaton, IL
National Provider Identifier
1255866976
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on May 1, 2017

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.