FREEDOM INTEGRATED MEDICINE LLC NPI 1184583999

NPI Information

  • NPI: 1184583999
  • Provider Name: FREEDOM INTEGRATED MEDICINE LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 4775 W DAYBREAK PKWY STE 102
    SOUTH JORDAN, UT
    ZIP 84009
  • Phone: (801) 571-1338

Map and Directions

Get Directions

NPI Details

FREEDOM INTEGRATED MEDICINE LLC is a general practice in South Jordan, UT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee FREEDOM INTEGRATED MEDICINE LLC NPI is 1184583999. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4775 W DAYBREAK PKWY STE 102
SOUTH JORDAN, UT
ZIP 84009-139
Phone: (801) 571-1338
Fax: (801) 516-4438

The provider's authorized official is Steven J Chalk .
The authorized official title is Owner and has the following contact phone number (801) 502-6249.

The enumeration date for this NPI number is 1/17/2026 and was last updated on 1/17/2026.

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
1208D00000XGeneral PracticeYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.