| Organization Name: | INTEGRATIVE MED LLC |
| NPI Number: | 1134447642 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT J LACAVA (PARTNER) |
| Mailing Address: | 1750 N Randall Rd Suite 250 Elgin |
| State: | IL US |
| Postal Code: | 601237900 |
| Phone Number: | 8476956262 |
| Fax Number: | 8476956348 |
| NPI Enumeration Date: | 05/07/2010 |
| NPI Last Update Date: | 05/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036065641 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |