Organization Active NPI

Integrated Home Care Services Chicago

  • Oxygen Equipment & Supplies (DME)
  • Joliet, IL
National Provider Identifier
1275857096
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
35035943 Issued in IL
Legal business name
INTEGRATED HOME CARE SERVICES CHICAGO
Practice address
195 Springfield Ave
Suite 101
Joliet, IL 60435-6507
Phone
(815) 725-6161
Fax
(818) 725-1139
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Mary Clarke
Title
Secretary/Treasurer
Phone
(630) 582-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 35035943 IL Primary

Addresses

Primary practice location

195 Springfield Ave
Suite 101
Joliet, IL 60435-6507

Mailing address

480 Lake St
Suite C
Roselle, IL 60172-3581
Phone (630) 582-0202

Other names 1

  • Integrated Respiratory Solutions Provena Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1275857096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 LAKE ST",
            "address_2": "SUITE C",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723581",
            "telephone_number": "630-582-0202",
            "fax_number": "630-582-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 SPRINGFIELD AVE",
            "address_2": "SUITE 101",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356507",
            "telephone_number": "815-725-6161",
            "fax_number": "818-725-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HOME CARE SERVICES CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "630-582-0202"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "35035943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Respiratory Solutions Provena",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.