Active NPI
Life Transformation Integrative Medicine PLLC
- Integrative Medicine Physician
- South Barrington, IL
National Provider Identifier
1376397372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- Legal business name
- LIFE TRANSFORMATION INTEGRATIVE MEDICINE PLLC
- Practice address
- 20 Mohawk Dr
South Barrington, IL 60010-9547 - Phone
- (847) 802-3083
- NPI assigned
- Apr 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pooja Saigal, MD
- Title
- Chief Medical Officer, President
- Phone
- (847) 323-2753
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | Primary |
Addresses
Primary practice location
20 Mohawk Dr
South Barrington, IL 60010-9547
Mailing address
20 Mohawk Dr
South Barrington, IL 60010-9547
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713225600000",
"number": "1376397372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MOHAWK DR",
"city": "SOUTH BARRINGTON",
"state": "IL",
"postal_code": "600109547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MOHAWK DR",
"city": "SOUTH BARRINGTON",
"state": "IL",
"postal_code": "600109547",
"telephone_number": "847-802-3083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE TRANSFORMATION INTEGRATIVE MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-15",
"status": "A",
"authorized_official_last_name": "SAIGAL",
"authorized_official_first_name": "POOJA",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER, PRESIDENT",
"authorized_official_telephone_number": "847-323-2753",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.