Organization Active NPI

Integrated Health Center S.C.

  • Internal Medicine Physician
  • Willowbrook, IL
National Provider Identifier
1285823955
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTEGRATED HEALTH CENTER S.C.
Practice address
15 West 720 89TH St
Willowbrook, IL 60527-2783
Phone
(815) 886-8037
Fax
(815) 886-3392
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Mr. Roland Anthony Borrasi, M.D.
Title
Internal Medicine
Phone
(815) 886-8037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

15 West 720 89TH St
Willowbrook, IL 60527-2783

Mailing address

15 West 720 89TH Street
Willowbrook, IL 60527-2783
Phone (815) 886-8037

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1285823955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WEST 720 89TH STREET",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272783",
            "telephone_number": "815-886-8037",
            "fax_number": "815-886-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WEST 720 89TH ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272783",
            "telephone_number": "815-886-8037",
            "fax_number": "815-886-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH CENTER S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "BORRASI",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "815-886-8037",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.