NORTHSTAR INTEGRATED HEALTH & PHYSICAL MEDICINE CENTER, S.C.
NPI 1073869574
Nurse Practitioner - Family in Lisle, IL

Active since August 02, 2012
4513 LINCOLN AVE, #212, LISLE, IL 60532(630) 795-1889 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northstar Integrated Health & Physical Medicine Center, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSTAR INTEGRATED HEALTH & PHYSICAL MEDICINE CENTER, S.C. (NPI 1073869574) is a healthcare organization registered as a family in Lisle, Illinois and active in the NPI registry since August 2012. The organization lists Paul Rieselman, Owner, as its authorized official.

NPPES Registry Identity

NPI1073869574
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNORTHSTAR INTEGRATED HEALTH & PHYSICAL MEDICINE CENTER, S.C.
Location Address4513 LINCOLN AVE, #212Lisle, IL 60532-1289
Mailing Address4513 Lincoln Ave, #212Lisle, IL 60532-1289 · (630) 795-1889
Organization SubpartNo
Authorized OfficialPaul RieselmanOwner · (630) 795-1889
Enumeration DateAugust 2, 2012
Last NPPES UpdateFebruary 11, 2014
NPI 1073869574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209009686
Also ListedChiropractor · Occupational HealthTaxonomy 111NX0100X · License 038010007 (IL)
Also ListedRegistered Nurse · Pain ManagementTaxonomy 163WP0000X · License 041384754 (IL)
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 036110569 (IL)
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 036111510 (IL)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 036111510 (IL)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 036110569 (IL)
Also ListedPhysical TherapistTaxonomy 225100000X · License 070019141 (IL)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 209009686 (IL)
Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X · License 209009686 (IL)
4513 LINCOLN AVE, Lisle, IL 60532

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
4513 LINCOLN AVE, SUITE 109A
LISLE, IL 60532
Nurse Practitioner (Family)
4513 LINCOLN AVE, SUITE 212
LISLE, IL 60532
Clinic/Center
4513 LINCOLN AVE, SUITE 212
LISLE, IL 60532
Acupuncturist
4513 LINCOLN AVE, SUITE 212
LISLE, IL 60532
Physical Therapist
4513 LINCOLN AVE, 105A
LISLE, IL 60532
Counselor (Professional)
4513 LINCOLN AVE, RT.53, SUITE 109A
LISLE, IL 60532
Massage Therapist
4513 LINCOLN AVE, SUITE 203B
LISLE, IL 60532
Counselor (Mental Health)
4513 LINCOLN AVE, SUITE 209
LISLE, IL 60532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northstar Integrated Health & Physical Medicine Center, S.C.'s NPI number?

The NPI number for Northstar Integrated Health & Physical Medicine Center, S.C. is 1073869574. It was assigned to this organization in the NPPES registry on August 2, 2012.

Where is Northstar Integrated Health & Physical Medicine Center, S.C. located?

Northstar Integrated Health & Physical Medicine Center, S.C. is located at 4513 Lincoln Ave #212, Lisle, IL 60532. The listed phone number is (630) 795-1889.

What is Northstar Integrated Health & Physical Medicine Center, S.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Northstar Integrated Health & Physical Medicine Center, S.C. was last updated on February 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.