Healthcare Provider Details

I. General information

NPI: 1609738590
Provider Name (Legal Business Name): HOLISTIC HEALTH INTEGRATED CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2025
Last Update Date: 11/29/2025
Certification Date: 11/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 BRANCHWOOD DR
SCHAUMBURG IL
60193-1557
US

IV. Provider business mailing address

104 BRANCHWOOD DR
SCHAUMBURG IL
60193-1557
US

V. Phone/Fax

Practice location:
  • Phone: 224-442-4247
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW FRIEDL
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 217-412-5464