INTEGRATIVE MED LLC (NPI# 1134447642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134447642 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE MED LLC |
| Practice Address |
1750 N Randall Rd Suite 250 Elgin IL 60123-7900 |
| Practice Telephone | 8476956262 |
| Practice Fax Number | 8476956348 |
| Mailing Telephone | 8476956262 |
| Mailing Fax Number | 8476956348 |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |
| Authorized Official Name | DR. ROBERT J LACAVA (PARTNER) |
| Authorized Official Telephone | 8476956262 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 036065641 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS/BLUE SHIELD OF ILLINOIS | 0004532289 | 01 |
| Street Address |
1750 N RANDALL RD SUITE 250 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811996010 | Gary F. Ochwat | Podiatrist | 1750 N Randall Rd, Suite 160, Elgin, IL 60123-7900 | 2005-07-19 |
| 1356721591 | Mohs Surgery &dermatology | Specialist | 1750 N Randall Rd, Suite 120, Elgin, IL 60123-7900 | 2015-06-03 |
| 1558775502 | Medical Associates of Elgin, LLC | Internal Medicine | 1750 N Randall Rd, Suite 110, Elgin, IL 60123-7900 | 2014-06-18 |
| 1891133096 | Matthew Albert Krouse | Podiatrist | 1750 N Randall Rd, Suite 160, Elgin, IL 60123-7900 | 2013-06-10 |
| 1568752004 | Arsalan Qazi Shabbir | Dermatology | 1750 N Randall Rd, Elgin, IL 60123-7900 | 2011-04-18 |
| 1508185323 | Susan K. Busse | Family Medicine | 1750 N Randall Rd, Suite 250, Elgin, IL 60123-7900 | 2010-05-18 |
| 1083932602 | Advanced Sports Medicine Sc | Chiropractor | 1750 N Randall Rd, Suite 250, Elgin, IL 60123-7900 | 2010-05-06 |
| 1023334935 | Advanced Foot & Ankle Specialists Sc | Podiatrist | 1750 N Randall Rd, Suite 160, Elgin, IL 60123-7900 | 2010-04-16 |
| 1831424936 | Hospital Medicine Consultants LLC | Hospitalist | 1750 N Randall Rd, Suite 110, Elgin, IL 60123-7900 | 2009-10-07 |
| 1841469830 | Suleman J. Bangash D.o.s.c. | Dermatology | 1750 N Randall Rd, Suite 120, Elgin, IL 60123-7900 | 2008-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770813446 | Fredric Bertram Bauer | General Practice | 1215 Spring Creek Rd, Elgin, IL 60120-5017 | 2010-01-01 |
| 1619198918 | Changgeum Kang | General Practice | 750 S State St, Elgin, IL 60123-7612 | 2007-05-02 |
| 1407072960 | Keum Za Park | General Practice | 750 S State St, Elgin, IL 60123-7612 | 2007-04-17 |
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| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
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| 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.