Organization Active NPI

First Integrated Medical

  • General Practice Physician
  • Naperville, IL
National Provider Identifier
1700751583
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FIRST INTEGRATED MEDICAL
Practice address
1324 E Ogden Ave Ste 100
Naperville, IL 60563-2347
Phone
(630) 718-1111
NPI assigned
Oct 9, 2025
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Dr. Jaesun MaNPI 1043695224
Title
President
Phone
(630) 718-1111

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
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

1324 E Ogden Ave Ste 100
Naperville, IL 60563-2347

Mailing address

1324 E Ogden Ave Ste 100
Naperville, IL 60563-2347
Phone (630) 718-1111

National Provider Directory

National Provider Directory

Locations

1324 E Ogden Ave
Ste 100
Naperville, IL 60563
Phone (224) 363-1717

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1700751583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 E OGDEN AVE STE 100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632347",
            "telephone_number": "630-718-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 E OGDEN AVE STE 100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632347",
            "telephone_number": "630-718-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST INTEGRATED MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "JAESUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-718-1111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 9, 2025; 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.