Active NPI
Integrated Health of Romeoville LLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Romeoville, IL
National Provider Identifier
1457020547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- INTEGRATED HEALTH OF ROMEOVILLE LLC
- Practice address
- 30 S Weber Rd
Romeoville, IL 60446-4947 - Phone
- (815) 886-9500
- Fax
- (815) 926-5305
- NPI assigned
- Sep 10, 2021
- 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
- James Nakis, DC
- Title
- Owner
- Phone
- (815) 782-8440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
30 S Weber Rd
Romeoville, IL 60446-4947
Mailing address
16310 S Lincoln Hwy
Plainfield, IL 60586-9006
Phone (815) 782-8440
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631232000000",
"number": "1457020547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16310 S LINCOLN HWY",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605869006",
"telephone_number": "815-782-8440",
"fax_number": "815-926-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 S WEBER RD",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "604464947",
"telephone_number": "815-886-9500",
"fax_number": "815-926-5305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED HEALTH OF ROMEOVILLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A",
"authorized_official_last_name": "NAKIS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-782-8440",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Romeoville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.