NPIMap

Organization Active NPI

Naperville Integrative Medicine SC

  • General Practice Physician
  • Naperville, IL
National Provider Identifier
1770964140
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NAPERVILLE INTEGRATIVE MEDICINE SC
Practice address
2712 Forgue Dr
#100
Naperville, IL 60564-4194
Phone
(630) 922-7779
Fax
(630) 922-8091
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Richard Whitney
Title
Owner
Phone
(630) 922-7779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2712 Forgue Dr
#100
Naperville, IL 60564-4194

Mailing address

2712 Forgue Dr
#100
Naperville, IL 60564-4194
Phone (630) 922-7779

National Provider Directory

National Provider Directory

Locations

2712 Forgue Dr
Ste 100
Naperville, IL 60564
Phone (630) 548-1100

Practitioners & affiliated clinicians

Practitioners 4

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": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1770964140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 FORGUE DR",
            "address_2": "#100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644194",
            "telephone_number": "630-922-7779",
            "fax_number": "630-922-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 FORGUE DR",
            "address_2": "#100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644194",
            "telephone_number": "630-922-7779",
            "fax_number": "630-922-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE INTEGRATIVE MEDICINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-922-7779"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "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 Jun 11, 2015; 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.