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INTEGRATIVE HEALING CENTER LLC NPI 1184085201


NPI Information

NPI: 1184085201
Provider Name: INTEGRATIVE HEALING CENTER, LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
6019 FINCHAM DRIVE
ROCKFORD, IL
ZIP 61108
Phone: (219) 902-7340
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INTEGRATIVE HEALING CENTER, LLC is a medical specialty clinic center in Rockford, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). INTEGRATIVE HEALING CENTER, LLC NPI is 1184085201. The provider is registered as an organization entity type.

The provider's business location address is:

6019 FINCHAM DRIVE
ROCKFORD, IL
ZIP 61108
Phone: (219) 902-7340

The provider's authorized official is Elisha Robinson .
The authorized official title is Owner and has the following contact phone number (219) 902-7340.

The enumeration date for this NPI number is 3/17/2016 and was last updated on 3/17/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty036.130252ILLINOISYes

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: 11/14/2023

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