NPIMap

Organization Active NPI

Integrated Health Care Providers LLC

Doing business as Doctors Immediate Care

  • General Practice Physician
  • Lombard, IL
National Provider Identifier
1720353394
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
INTEGRATED HEALTH CARE PROVIDERS LLC
Doing business as
Doctors Immediate Care
Practice address
18W511 Roosevelt Rd
Lombard, IL 60148-4184
Phone
(630) 236-0900
Fax
(630) 953-4502
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Dr. Ruksana Nazneen, M.D.NPI 1063432474
Title
Medical Director
Phone
(630) 953-4500

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 PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

18W511 Roosevelt Rd
Lombard, IL 60148-4184

Mailing address

18W511 Roosevelt Rd
Lombard, IL 60148-4184
Phone (630) 236-0900

Other names 1

  • Doctors Immediate Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1720353394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18W511 ROOSEVELT RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484184",
            "telephone_number": "630-236-0900",
            "fax_number": "630-953-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18W511 ROOSEVELT RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484184",
            "telephone_number": "630-236-0900",
            "fax_number": "630-953-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH CARE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "NAZNEEN",
        "authorized_official_first_name": "RUKSANA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-953-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.