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NPI Code Detail

MEDICARE: INTEGRATED EXPRESS HEALTHCARE SOLUTIONS

MEDICARE: INTEGRATED EXPRESS HEALTHCARE SOLUTIONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center
2261QH0100XHealth Service Clinic/Center
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
4261QM1300XMulti-Specialty Clinic/Center
5363L00000XNurse Practitioner
6363LF0000XFamily Nurse Practitioner
7363LP0808XPsychiatric/Mental Health Nurse Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11922697481OTHERILNPI

General Provider Information

NPI Number : 1922697481
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATED EXPRESS HEALTHCARE SOLUTIONS
Provider Business Mailing Address
First Line : 990 GRAND CANYON PKWY STE 218
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-1735
Country : US
Telephone Number : 847-848-6267
Fax Number :
Provider Business Practice Location Address
First Line : 990 GRAND CANYON PKWY STE 218
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-1735
Country : US
Telephone Number : 847-848-6267
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KRISTINA PASSARELLI
Credential : DNP
Telephone Number : 847-848-6267
Provider Enumeration Date : 01/11/2021
Last Update Date : 05/17/2022

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Directions to “INTEGRATED EXPRESS HEALTHCARE SOLUTIONS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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