NPIMap

Organization Active NPI

Integrated Healthcare Associates, LLC

  • Point of Service
  • Itasca, IL
National Provider Identifier
1902172075
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
INTEGRATED HEALTHCARE ASSOCIATES, LLC
Practice address
650 E Devon Ave
Suite 165
Itasca, IL 60143-1251
Phone
(630) 285-1040
Fax
(630) 285-1210
NPI assigned
Mar 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Mr. Richard L May, MBA
Title
Manager
Phone
(630) 285-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

650 E Devon Ave
Suite 165
Itasca, IL 60143-1251

Mailing address

650 E Devon Ave
Suite 165
Itasca, IL 60143-1251
Phone (630) 285-1040

National Provider Directory

National Provider Directory

Locations

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1902172075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E DEVON AVE",
            "address_2": "SUITE 165",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601431251",
            "telephone_number": "630-285-1040",
            "fax_number": "630-285-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E DEVON AVE",
            "address_2": "SUITE 165",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601431251",
            "telephone_number": "630-285-1040",
            "fax_number": "630-285-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTHCARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-285-1040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Itasca, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.