Organization Active NPI

Integrated Health Source S.C.

  • Chiropractor
  • Joliet, IL
National Provider Identifier
1477803286
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012017 Issued in IL
Legal business name
INTEGRATED HEALTH SOURCE S.C.
Practice address
2411 West Jefferson Street
Joliet, IL 60435-6448
Phone
(815) 744-3505
NPI assigned
Sep 19, 2012
Last updated
Aug 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Dan Catarello
Title
President
Phone
(847) 254-1492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038012017 IL Primary

Addresses

Primary practice location

2411 West Jefferson Street
Joliet, IL 60435-6448

Mailing address

2411 West Jefferson Street
Joliet, IL 60435-6448

National Provider Directory

National Provider Directory

Locations

2411 W Jefferson St
Joliet, IL 60435
Phone (815) 744-3505

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1477803286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 WEST JEFFERSON STREET",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 WEST JEFFERSON STREET",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356448",
            "telephone_number": "815-744-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH SOURCE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "CATARELLO",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-254-1492"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.