Organization Active NPI

Integrative Medical Solutions

  • General Practice Physician
  • Gillespie, IL
National Provider Identifier
1275044265
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
71414558 Issued in IL
Legal business name
INTEGRATIVE MEDICAL SOLUTIONS
Practice address
124 N Macoupin St
Gillespie, IL 62033-1408
Phone
(217) 839-3040
NPI assigned
Oct 17, 2017
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Dr. Steven R Jachino, D.C.NPI 1356505168
Title
President
Phone
(217) 839-3040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 71414558 IL Primary

Addresses

Primary practice location

124 N Macoupin St
Gillespie, IL 62033-1408

Mailing address

124 N Macoupin St
Gillespie, IL 62033-1408
Phone (217) 839-3040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1275044265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N MACOUPIN ST",
            "city": "GILLESPIE",
            "state": "IL",
            "postal_code": "620331408",
            "telephone_number": "217-839-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N MACOUPIN ST",
            "city": "GILLESPIE",
            "state": "IL",
            "postal_code": "620331408",
            "telephone_number": "217-839-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2021-05-26",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "JACHINO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-839-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "71414558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillespie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.