| Integrative Med Llc | |
|
1750 N Randall Rd Suite 250 Elgin IL 60123-7900 | |
| (847) 695-6262 | |
| (847) 695-6348 |
| Full Name | Integrative Med Llc |
|---|---|
| Speciality | General Practice |
| Location | 1750 N Randall Rd, Elgin, Illinois |
| Authorized Official Name and Position | Robert J Lacava (PARTNER) |
| Authorized Official Contact | 8476956262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Med Llc 1750 N Randall Rd Suite 250 Elgin IL 60123-7900 Ph: (847) 695-6262 | Integrative Med Llc 1750 N Randall Rd Suite 250 Elgin IL 60123-7900 Ph: (847) 695-6262 |
| NPI Number | 1134447642 |
|---|---|
| Provider Enumeration Date | 05/07/2010 |
| Last Update Date | 05/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134447642 | NPI | - | NPPES |
| 0004532289 | Other | IL | BLUE CROSS/BLUE SHIELD OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036065641 (Illinois) | Primary |
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