NPIMap

Organization Active NPI

Integrated Holistic Healthcare, S.C.

  • Chiropractor
  • Wilmette, IL
National Provider Identifier
1407207129
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012966 Issued in IL
Legal business name
INTEGRATED HOLISTIC HEALTHCARE, S.C.
Practice address
522 Poplar Dr
Wilmette, IL 60091-2717
Phone
(847) 251-0044
Fax
(847) 251-0066
NPI assigned
Jun 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Dr. Bradley Campbell, D.C.
Title
Owner
Phone
(847) 251-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038012966 IL Primary

Addresses

Primary practice location

522 Poplar Dr
Wilmette, IL 60091-2717

Mailing address

522 Poplar Dr
Wilmette, IL 60091-2717
Phone (847) 251-0044

National Provider Directory

National Provider Directory

Locations

522 Poplar Dr
Wilmette, IL 60091
Phone (847) 251-0044

Practitioners & affiliated clinicians

Practitioners 6

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": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1407207129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 POPLAR DR",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912717",
            "telephone_number": "847-251-0044",
            "fax_number": "847-251-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 POPLAR DR",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912717",
            "telephone_number": "847-251-0044",
            "fax_number": "847-251-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HOLISTIC HEALTHCARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-251-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.