NORTHSTAR INTEGRATED HEALTH & PHYSICAL MEDICINE CENTER, S.C. (NPI# 1073869574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073869574 |
| Entity Type | Organization |
| Organization Name | NORTHSTAR INTEGRATED HEALTH & PHYSICAL MEDICINE CENTER, S.C. |
| Practice Address |
4513 Lincoln Ave #212 Lisle IL 60532-1289 |
| Practice Telephone | 6307951889 |
| Mailing Telephone | 6307951889 |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2014-02-11 |
| Authorized Official Name | DR. PAUL RIESELMAN (OWNER) |
| Authorized Official Telephone | 6307951889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NX0100X |
Chiropractor Specialization: Occupational Health |
038010007 | IL | Chiropractic Providers |
| N | 163WP0000X |
Registered Nurse Specialization: Pain Management |
041384754 | IL | Nursing Service Providers |
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 036110569 | IL | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
036111510 | IL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 036111510 | IL | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
036110569 | IL | Allopathic & Osteopathic Physicians |
| N | 225100000X | Physical Therapist | 070019141 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209009686 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
209009686 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
IL | Allopathic & Osteopathic Physicians | |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209009686 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4513 LINCOLN AVE #212 |
| City | LISLE |
| State | IL |
| Zip Code | 60532-1289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669434007 | Alison C. Ooms | Counselor | 4513 Lincoln Ave, Suite 109a, Lisle, IL 60532-1289 | 2006-04-03 |
| 1215474457 | Motion for Life Physical Therapy and Integrative Movement Inc | Physical Therapist | 4513 Lincoln Ave, 105a, Lisle, IL 60532-1289 | 2017-01-26 |
| 1497197412 | Amy Rieselman | Acupuncturist | 4513 Lincoln Ave, Suite 212, Lisle, IL 60532-1289 | 2013-07-18 |
| 1730336579 | Jason Knorr | Case Manager/Care Coordinator | 4513 Lincoln Ave, Rt.53, Suite 109a, Lisle, IL 60532-1289 | 2008-08-23 |
| 1326266891 | Robyn Norman | Counselor | 4513 Lincoln Ave, Suite 109a, Lisle, IL 60532-1289 | 2007-04-23 |
| 1679654974 | Paul David Rieselman | Chiropractor | 4513 Lincoln Ave, Suite 212, Lisle, IL 60532-1289 | 2006-10-17 |
| 1326129636 | Northstar Chiropractic Natural Wellness Center | Clinic/Center | 4513 Lincoln Ave, Suite 212, Lisle, IL 60532-1289 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675760 | Contemporary Wellness, LLC | Counselor | 4300 Commerce Court, Suite 300-9, Lisle, IL 60532 | 2020-03-25 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1598305849 | Peter Sismour | Counselor | 4603 Main Street, Lisle, IL 60532 | 2020-01-14 |
| 1336634856 | Forward Emotion, LLC | Counselor | 3060 Ogden Ave Ste 102, Lisle, IL 60532 | 2018-06-27 |
| 1801397179 | David Rodemaker | Psychologist | 1500 Eisenhower Lane, Suite 300, Lisle, IL 60532 | 2018-02-22 |
| 1801325139 | Naperville Psychological Associates LLC | Psychologist | 6010 S Route 59, Suite B, Lisle, IL 60532 | 2017-06-09 |
| 1831649730 | Paige Diesner | Physician Assistant | 430 Warrenville Rd., Ste 300, Lisle, IL 60532 | 2016-10-04 |
| 1174978860 | Lisa Schaedler | Social Worker | 4774 Hill Trail Rd Apt 2c, Lisle, IL 60532 | 2016-04-29 |
| 1831578962 | Farah Budd | Occupational Therapist | 748 Riedy Rd, Lisle, IL 60532 | 2015-05-21 |
| 1649602822 | Marie Ann Markham Gonzalez | Developmental Therapist | 5629 Dover Dr, Lisle, IL 60532 | 2013-07-30 |
| Find all providers in zip 60532 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832292 | Kelly Karas-hedrick | Nurse Practitioner | 4613 Yender Ave, Lisle, IL 60532-1567 | 2019-10-16 |
| 1730620576 | Brittany Foote | Nurse Practitioner | 3033 Ogden Ave Ste 101, Lisle, IL 60532-1976 | 2017-03-13 |
| 1871039412 | Al U Sango | Nurse Practitioner | 420 Walnut Creek Ln Unit 3506, Lisle, IL 60532-1946 | 2017-01-06 |
| 1821530783 | Alane Kae Mcfadden | Nurse Practitioner | 550 Warrenville Rd Ste 300, Lisle, IL 60532-4311 | 2016-11-09 |
| 1053749135 | Karla W Anderson | Nurse Practitioner | 809 Ogden Ave, Lisle, IL 60532-1337 | 2013-10-28 |
| 1477744183 | Norma M Jackson | Nurse Practitioner | 650 Warrenville Rd, Suite 400, Lisle, IL 60532-4314 | 2007-08-07 |
| 1962629576 | Sylvia Monica Scrima | Nurse Practitioner | 550 Warrenville Road, Lisle, IL 60532 | 2007-04-18 |
| 1699281592 | Rachel L Benecke | Nurse Practitioner | 430 Warrenville Rd Ste 310, Lisle, IL 60532-1348 | 2017-12-14 |
| 1730690678 | Ashley Peters | Nurse Practitioner | 430 Warrenville Rd, Lisle, IL 60532-1348 | 2017-10-18 |
| 1912444233 | Kathleen Lenke | Nurse Practitioner | 3080 Ogden Ave, Suite 204, Lisle, IL 60532-1691 | 2017-01-24 |
| Find all providers in LISLE | ||||
Please comment or provide details below to improve the information on NORTHSTAR INTEGRATED HEALTH & PHYSICAL MEDICINE CENTER, S.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.