NPIMap

Organization Active NPI

Sycamore Integrated Health, LTD

  • Chiropractor
  • Sycamore, IL
National Provider Identifier
1942547229
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SYCAMORE INTEGRATED HEALTH, LTD
Practice address
920 W Prairie Dr Ste J
Sycamore, IL 60178-3123
Phone
(815) 895-3354
Fax
(815) 895-3345
NPI assigned
Jan 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Judi Galick
Title
Billing Manager
Phone
(815) 895-3354

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

920 W Prairie Dr Ste J
Sycamore, IL 60178-3123

Mailing address

920 W Prairie Dr Ste J
Sycamore, IL 60178-3123
Phone (815) 895-3354

Other identifiers 6

IdentifierTypeStateIssuer
209026220OtherILPROVIDER LICENSE NUMBER
038011487OtherILPROVIDER LICENSE NUMBER
038011770OtherILPROVIDER LICENSE NUMBER
038014224OtherILPROVIDER LICENSE NUMBER
038011552OtherILPROVIDER LICENSE NUMBER
209025054OtherILPROVIDER LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130604000913 IL Part B Supplier - Clinic/Group Practice 3678711538 Receives reassigned benefits from 6 practitioners
Practice locations: Sycamore, IL
O20131123000092 IL DME Supplier - Physician - Family Practice 3678711538 Practice locations: Sycamore, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1942547229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W PRAIRIE DR STE J",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783123",
            "telephone_number": "815-895-3354",
            "fax_number": "815-895-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W PRAIRIE DR STE J",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783123",
            "telephone_number": "815-895-3354",
            "fax_number": "815-895-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE INTEGRATED HEALTH, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "GALICK",
        "authorized_official_first_name": "JUDI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "815-895-3354"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE NUMBER",
            "identifier": "209026220",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE NUMBER",
            "identifier": "038011487",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE NUMBER",
            "identifier": "038011770",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE NUMBER",
            "identifier": "038014224",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE NUMBER",
            "identifier": "038011552",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE NUMBER",
            "identifier": "209025054",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.