Active NPI
Chicago Integrated Health
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
National Provider Identifier
1538697529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- CHICAGO INTEGRATED HEALTH
- Practice address
- 30 S Michigan Ave Ste 400
Chicago, IL 60603-3222 - Phone
- (312) 726-1353
- Fax
- (312) 726-5238
- NPI assigned
- Jun 2, 2017
- 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
- Anne Gordon, DC
- Title
- Owner
- Phone
- (312) 726-1353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
30 S Michigan Ave Ste 400
Chicago, IL 60603-3222
Mailing address
30 S Michigan Ave Ste 400
Chicago, IL 60603-3222
Phone (312) 726-1353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Chicago, IL
- NPI 1548947526
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1972343390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1538697529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 S MICHIGAN AVE STE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606033222",
"telephone_number": "312-726-1353",
"fax_number": "312-726-5238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 S MICHIGAN AVE STE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606033222",
"telephone_number": "312-726-1353",
"fax_number": "312-726-5238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO INTEGRATED HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-02",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-726-1353",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Chicago Institute of Advanced Surgery
- Chicago Institute of Natural Health, S.C.
- Chicago Institute of Neurosurgery & Neuroresearch
- Chicago Institute of Orthopedics
- Chicago Institute of Orthopedics
- Chicago Integrated Health Services
- Chicago Integrated Psychotherapy Incorporated (Chicago Integrative Psychotherapy)
- Chicago Kids Therapy Inc
- Chicago Lab Services Inc
- Chicago Laboratory Consultant LLC (ALC Diagnostics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.