Organization Active NPI

Integrative Family Healthcare

  • Chiropractor
  • Rockford, IL
National Provider Identifier
1912248741
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012245 Issued in IL
Legal business name
INTEGRATIVE FAMILY HEALTHCARE
Practice address
3626 E State St
Rockford, IL 61108-1916
Phone
(779) 423-1700
Fax
(866) 596-1027
NPI assigned
Mar 4, 2013
Last updated
May 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Dr. Colleen Noe, D.C.NPI 1124389861
Title
Owner
Phone
(779) 423-1700

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
Chiropractor 111N00000X 038.012245 IL Primary

Addresses

Primary practice location

3626 E State St
Rockford, IL 61108-1916

Mailing address

3626 E State St
Rockford, IL 61108-1916
Phone (779) 423-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130807000201 IL Part B Supplier - Clinic/Group Practice 0749422525 Receives reassigned benefits from 1 practitioner
Practice locations: Loves Park, IL

National Provider Directory

National Provider Directory

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": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1912248741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081916",
            "telephone_number": "779-423-1700",
            "fax_number": "866-596-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081916",
            "telephone_number": "779-423-1700",
            "fax_number": "866-596-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "NOE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "779-423-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.