Discover Integrated Medical Center, LTD.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DISCOVER INTEGRATED MEDICAL CENTER, LTD.

Practice address

2207 N US Highway 12 Ste E
Spring Grove, IL 60081-9706

Phone

(815) 675-9355

NPI assigned

Sep 18, 2020

Last updated

Sep 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darrin FoszczNPI 1013025824

Title

Clinic Director

Phone

(815) 675-9355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Darrin R Foszcz, D.C.

  • Chiropractor
  • Spring Grove, IL
  • NPI 1013025824
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1538775192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 N US HIGHWAY 12 STE E",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600819706",
            "telephone_number": "815-675-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 N US HIGHWAY 12 STE E",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600819706",
            "telephone_number": "815-675-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER INTEGRATED MEDICAL CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "FOSZCZ",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "815-675-9355"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Destephano, DC, DACNB
• Nikolas Destephano, DC
• Ralph Destephano, DC, DACNB
• Elizabeth J. Devaney, M.D.
• Discover Chiropractic Health Center LTD
• Dr. David F. Bowers P.C.
• Georgia Eger
• Dana Ehardt, COTA
• Spring Evans, MPT
• Jane Ann Ferrigan-Wilson, LCSW

• General Practice Physician in Spring Grove, IL
• Providers in Spring Grove, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.