Medical Integration SC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

038-010483 Issued in IL

Legal business name

MEDICAL INTEGRATION SC

Practice address

4920 N Central Ave
Suite 1a
Chicago, IL 60630-2338

Phone

(773) 427-0820

Fax

(773) 427-0825

NPI assigned

Jan 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Louis Mark Luna, D.C.

Title

Clinic Director/President

Phone

(773) 619-3611

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1346571361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 N CENTRAL AVE",
            "address_2": "SUITE 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302338",
            "telephone_number": "773-427-0820",
            "fax_number": "773-427-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 N CENTRAL AVE",
            "address_2": "SUITE 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302338",
            "telephone_number": "773-427-0820",
            "fax_number": "773-427-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL INTEGRATION SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "17736193611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "038-010483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.