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Integrative Med Llc
General Practice Physician in Elgin, Illinois
NPI 1134447642

Integrative Med Llc is a General Practice Physician based in Elgin, IL. Integrative Med Llc practices in Elgin, IL. The NPI Number for Integrative Med Llc is 1134447642 and holds a License No. 036065641 (Illinois).

The current practice location address for Integrative Med Llc is 1750 N Randall Rd, Elgin, IL and can be reached out via phone at 847-695-6262 and via fax at 847-695-6348.

Location: 1750 N Randall Rd, Elgin, IL, 60123-7900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134447642
Provider Name
Integrative Med Llc
Credential
Provider Entity Type
Organization
Address
1750 N Randall Rd, Elgin, IL, 60123-7900
Phone Number
847-695-6262
Fax Number
847-695-6348
Provider Enumeration Date
05/07/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0004532289 01 IL BLUE CROSS/BLUE SHIELD OF ILLINOIS
institution
Provider Business Practice Location Address Details
Address
1750 N Randall Rd
City
Elgin
State
Illinois
Zip
60123-7900
Phone Number
847-695-6262
Fax Number
847-695-6348
person
Provider Business Mailing Address Details
Address
1750 N Randall Rd
City
Elgin
State
Illinois
Zip
60123-7900
Phone Number
847-695-6262
Fax Number
847-695-6348
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
036065641 (Illinois)
Definition
Definition to come...
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