| Elite Integrated Medical, Llc | |
|
1999 Springbrook Square Dr Ste 103 Naperville IL 60564-5962 | |
| (732) 845-6633 | |
| Not Available |
| Full Name | Elite Integrated Medical, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1999 Springbrook Square Dr Ste 103, Naperville, Illinois |
| Authorized Official Name and Position | Jason P Lamarche (OWNER) |
| Authorized Official Contact | 8154582225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Integrated Medical, Llc 1999 Springbrook Square Dr Ste 103 Naperville IL 60564-5962 Ph: (732) 845-6633 | Elite Integrated Medical, Llc 1999 Springbrook Square Dr Ste 103 Naperville IL 60564-5962 Ph: (732) 845-6633 |
| NPI Number | 1609485887 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 07/23/2020 |
| Medicare PECOS PAC ID | 5698194108 |
|---|---|
| Medicare Enrollment ID | O20201002000965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609485887 | NPI | - | NPPES |
| Provider Name | Jason P Lamarche |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710110481 PECOS PAC ID: 2264578913 Enrollment ID: I20091009000216 |
| Provider Name | James A Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083660229 PECOS PAC ID: 6800089988 Enrollment ID: I20101021000428 |
| Provider Name | Kevin Julius Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801112420 PECOS PAC ID: 1456532274 Enrollment ID: I20110225000625 |
| Provider Name | Danielle L Markham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376173146 PECOS PAC ID: 8527498666 Enrollment ID: I20200414000614 |
| Provider Name | Kristin Horney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730771122 PECOS PAC ID: 2961817879 Enrollment ID: I20210225003249 |
| Provider Name | Lauren A Horne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588120034 PECOS PAC ID: 6204239403 Enrollment ID: I20210726002833 |
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