Organization Active NPI

Elite Integrated Medical, LLC

  • Multi-Specialty Clinic/Center
  • Naperville, IL
National Provider Identifier
1609485887
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ELITE INTEGRATED MEDICAL, LLC
Practice address
1999 Springbrook Square Dr Ste 103
Naperville, IL 60564-5962
Phone
(732) 845-6633
NPI assigned
Jul 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Jason P Lamarche, DC
Title
Owner
Phone
(815) 458-2225

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Physical Therapy Clinic/Center 261QP2000X
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

1999 Springbrook Square Dr Ste 103
Naperville, IL 60564-5962

Mailing address

1999 Springbrook Square Dr Ste 103
Naperville, IL 60564-5962
Phone (732) 845-6633

National Provider Directory

National Provider Directory

Locations

1999 Springbrook Square Dr
Naperville, IL 60564

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1609485887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 SPRINGBROOK SQUARE DR STE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645962",
            "telephone_number": "732-845-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 SPRINGBROOK SQUARE DR STE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645962",
            "telephone_number": "732-845-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE INTEGRATED MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "LAMARCHE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-458-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.