Organization Active NPI

Integral Medical & Rehabilitation, S.C

  • Chiropractor
  • Schaumburg, IL
National Provider Identifier
1356866958
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38.011277 Issued in IL
Legal business name
INTEGRAL MEDICAL & REHABILITATION, S.C
Practice address
399 Glen Byrn CT
Schaumburg, IL 60194
Phone
(815) 404-3064
NPI assigned
Aug 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Michael James Hartlett, DCNPI 1063658656
Title
Ceo
Phone
(224) 424-3147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38.011277 IL Primary

Addresses

Primary practice location

399 Glen Byrn CT
Schaumburg, IL 60194

Mailing address

3 W Hawthorn Pkwy Ste 280
Vernon Hills, IL 60061-1446
Phone (224) 424-3147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180912002734 IL Part B Supplier - Clinic/Group Practice 1850641820 Receives reassigned benefits from 2 practitioners
Practice locations: Vernon Hills, IL

National Provider Directory

National Provider Directory

Locations

3 W Hawthorn Pkwy
Ste 280
Vernon Hills, IL 60061
Phone (224) 424-3147

945 Lakeview Pkwy
Ste 174
Vernon Hills, IL 60061
Phone (224) 424-3147

870 W End Ct
Ste 206
Vernon Hills, IL 60061
Phone (224) 424-3147

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356866958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 W HAWTHORN PKWY STE 280",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611446",
            "telephone_number": "224-424-3147",
            "fax_number": "224-304-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 GLEN BYRN CT",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60194",
            "telephone_number": "815-404-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL MEDICAL & REHABILITATION, S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "HARTLETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-424-3147",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38.011277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.