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INTEGRATED HEALTH OF SOUTHERN ILLINOIS LTD. NPI 1982738274


NPI Information

NPI: 1982738274
Provider Name: INTEGRATED HEALTH OF SOUTHERN ILLINOIS, LTD.
Classification: Family Medicine - 207QS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
303 S COMMERCIAL ST
STE 10
HARRISBURG, IL
ZIP 62946
Phone: (618) 252-5555
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INTEGRATED HEALTH OF SOUTHERN ILLINOIS, LTD. is a sports medicine family medicine in Harrisburg, IL. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. INTEGRATED HEALTH OF SOUTHERN ILLINOIS, LTD. NPI is 1982738274. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

303 S COMMERCIAL ST
STE 10
HARRISBURG, IL
ZIP 62946-125
Phone: (618) 252-5555
Fax: (618) 252-2279

The provider's authorized official is Brian Hester .
The authorized official title is Owner and has the following contact phone number (618) 252-5555.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 6/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor042-619186ILLINOISNo
2225100000XPhysical Therapist042619186ILLINOISNo
3207QS0010XFamily MedicineSports Medicine042620395ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209925OTHERILLINOISMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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