NPIMap

Organization Active NPI

Integrated Wellness Consultants LLC

  • Internal Medicine Physician
  • Aurora, IL
National Provider Identifier
1508677964
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTEGRATED WELLNESS CONSULTANTS LLC
Practice address
1315 N Highland Ave Ste 100
Aurora, IL 60506-1459
Phone
(630) 413-9119
Fax
(312) 429-4551
NPI assigned
Jan 15, 2025
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Zia SamadNPI 1639551195
Title
Owner
Phone
(630) 873-9215

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1315 N Highland Ave Ste 100
Aurora, IL 60506-1459

Mailing address

1315 N Highland Ave Ste 100
Aurora, IL 60506-1459
Phone (630) 413-9119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250123003582 IL Part B Supplier - Clinic/Group Practice 8921537762 Receives reassigned benefits from 18 practitioners
Practice locations: Lombard, IL; Aurora, IL

National Provider Directory

National Provider Directory

Locations

1919 S Highland Ave
Ste 300B
Lombard, IL 60148
Phone (630) 413-9119

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1508677964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 N HIGHLAND AVE STE 100",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061459",
            "telephone_number": "630-413-9119",
            "fax_number": "312-429-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N HIGHLAND AVE STE 100",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061459",
            "telephone_number": "630-413-9119",
            "fax_number": "312-429-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED WELLNESS CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "SAMAD",
        "authorized_official_first_name": "ZIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-873-9215"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.