Provider Demographics
NPI:1225328644
Name:INTEGRATIVE HEALTH OF CHICAGO
Entity Type:Organization
Organization Name:INTEGRATIVE HEALTH OF CHICAGO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:312-462-4444
Mailing Address - Street 1:1315 W 22ND ST STE 110
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2060
Mailing Address - Country:US
Mailing Address - Phone:312-462-4444
Mailing Address - Fax:312-626-2070
Practice Address - Street 1:1315 W 22ND ST STE 110
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2060
Practice Address - Country:US
Practice Address - Phone:312-462-4444
Practice Address - Fax:312-626-2070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011884111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty