Provider Demographics
NPI:1497158398
Name:WHOLE FAMILY INTEGRATIVE HEALTH INC
Entity Type:Organization
Organization Name:WHOLE FAMILY INTEGRATIVE HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBAJIAN-DRUMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-385-2784
Mailing Address - Street 1:520 E KENDALL DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-1956
Mailing Address - Country:US
Mailing Address - Phone:630-385-2784
Mailing Address - Fax:630-553-0550
Practice Address - Street 1:520 E KENDALL DR UNIT A
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-1956
Practice Address - Country:US
Practice Address - Phone:630-385-2784
Practice Address - Fax:630-553-0550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF100229249Medicare PIN