Healthcare Provider Details

I. General information

NPI: 1295457828
Provider Name (Legal Business Name): INTEGRATED PATIENT SOLUTIONS OF ILLINOIS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8741 S GREENWOOD AVE STE 106-108
CHICAGO IL
60619-7061
US

IV. Provider business mailing address

1125 17TH ST STE 1000
DENVER CO
80202-2043
US

V. Phone/Fax

Practice location:
  • Phone: 773-920-2755
  • Fax: 720-826-4852
Mailing address:
  • Phone: 720-204-5760
  • Fax: 720-826-4852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALLIE SILVER
Title or Position: VP, CENTRAL OPS
Credential:
Phone: 980-443-4852