Provider Demographics
NPI:1598181380
Name:INTEGRATIVE HEALTH GROUP LTD
Entity Type:Organization
Organization Name:INTEGRATIVE HEALTH GROUP LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MHD
Authorized Official - Middle Name:FIRAS
Authorized Official - Last Name:ZAKARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-269-2760
Mailing Address - Street 1:13305 S RIDGELAND AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1814
Mailing Address - Country:US
Mailing Address - Phone:708-361-6714
Mailing Address - Fax:708-361-9514
Practice Address - Street 1:13305 S RIDGELAND AVE UNIT A
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1814
Practice Address - Country:US
Practice Address - Phone:708-361-6714
Practice Address - Fax:844-850-6291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-17
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036128519207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036128519Medicaid