Provider Demographics
NPI:1457020547
Name:INTEGRATED HEALTH OF ROMEOVILLE LLC
Entity Type:Organization
Organization Name:INTEGRATED HEALTH OF ROMEOVILLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-782-8440
Mailing Address - Street 1:16310 S LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-9006
Mailing Address - Country:US
Mailing Address - Phone:815-782-8440
Mailing Address - Fax:815-926-5305
Practice Address - Street 1:30 S WEBER RD
Practice Address - Street 2:
Practice Address - City:ROMEOVILLE
Practice Address - State:IL
Practice Address - Zip Code:60446-4947
Practice Address - Country:US
Practice Address - Phone:815-886-9500
Practice Address - Fax:815-926-5305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty