Genesis Integrative Medicine LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GENESIS INTEGRATIVE MEDICINE LLC

Practice address

1881 S Randall Rd Ste C
Geneva, IL 60134-2532

Phone

(331) 442-4132

NPI assigned

Oct 11, 2018

Last updated

Oct 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathan ConroyNPI 1023116456

Title

Owner

Phone

(331) 442-4132

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Practitioners 5

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.

• Nathan Conroy, D.C.

  • Chiropractor
  • Geneva, IL
  • NPI 1023116456
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey L Floyd, PA-C

  • Physician Assistant
  • Harvey, IL
  • NPI 1366775447
  Medicare reassignment Care Compare group
• Therese Bell, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Westmont, IL
  • NPI 1881239549
  Medicare reassignment NPD
• Anthony S Leazzo, DO

  • Family Medicine Physician
  • Oakbrook Terrace, IL
  • NPI 1912056995
  Medicare reassignment NPD
• Stephanie Schuster, APRN, CNP

  • Nurse Practitioner
  • Sandwich, IL
  • NPI 1164021168
  Medicare reassignment NPD

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1306311725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 S RANDALL RD STE C",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 S RANDALL RD STE C",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342532",
            "telephone_number": "331-442-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "331-442-4132"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Ann Gaul, APRN, CNP
• Sarah Torrance Gaumer, MA
• Alea Michelle Gaynor
• Paul M Gekas, M.D.
• Pauline Mailhiot Gekas, LMFT
• Geneva Acupuncture LLC
• Geneva Cusd # 304
• Geneva Eye Clinic LTD (Geneva Opticians Ltd)
• Geneva Eye Clinic LTD
• Geneva Family Dental

• General Practice Physician in Geneva, IL
• Providers in Geneva, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.