| Center For Integral Health, Llc | |
|
400 E 22nd St Lombard IL 60148-6104 | |
| (630) 792-9311 | |
| (630) 792-9316 |
| Full Name | Center For Integral Health, Llc |
|---|---|
| Speciality | General Practice |
| Location | 400 E 22nd St, Lombard, Illinois |
| Authorized Official Name and Position | Timothy William Fior (PHYSICIAN/PARTNER) |
| Authorized Official Contact | 6307929311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Integral Health, Llc 400 E 22nd St Lombard IL 60148-6104 Ph: (630) 792-9311 | Center For Integral Health, Llc 400 E 22nd St Lombard IL 60148-6104 Ph: (630) 792-9311 |
| NPI Number | 1487769196 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3971656869 |
|---|---|
| Medicare Enrollment ID | O20090724000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487769196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Joel R Shepperd |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689755795 PECOS PAC ID: 2062565955 Enrollment ID: I20100921000122 |
| Provider Name | Timothy W Fior |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346355260 PECOS PAC ID: 0244383131 Enrollment ID: I20101223000222 |
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