Integrative Medical Care PC
General Practice in Wheaton, IL. Organization (NPI-2).
NPI number1255866976
StatusActive
Last updated in NPPESMay 1, 2017
Details
- NPI
- 1255866976
- Entity type
- Organization (NPI-2)
- Legal business name
- Integrative Medical Care PC
- Organization subpart
- No
- Enumeration date
- May 1, 2017
- Last updated
- May 1, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
1749 S Naperville Rd Ste 205Wheaton, IL 60189-5892
Phone 630-460-6733 · Fax 630-752-1222
Mailing address
1749 S Naperville Rd Ste 205Wheaton, IL 60189-5892
Phone 630-460-6733 · Fax 630-752-1222
Authorized official
Olga Roshior
President
6304606733
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