INTEGRATIVE PRIMARY CARE AND MENTAL HEALTH CLINIC
NPI 1154187433
Nurse Practitioner - Family in Chicago, IL
About Integrative Primary Care And Mental Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATIVE PRIMARY CARE AND MENTAL HEALTH CLINIC (NPI 1154187433) is a healthcare organization registered as a family in Chicago, Illinois and active in the NPI registry since February 2024. The organization lists Suzanne Chan, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integrative Primary Care And Mental Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Integrative Primary Care And Mental Health Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Integrative Primary Care And Mental Health Clinic, LLC's NPI number?
The NPI number for Integrative Primary Care And Mental Health Clinic, LLC is 1154187433. It was assigned to this organization in the NPPES registry on February 26, 2024. The provider is doing business as Integrative Primary Care And Mental Health Clinic.
Where is Integrative Primary Care And Mental Health Clinic, LLC located?
Integrative Primary Care And Mental Health Clinic, LLC is located at 3201 S Wallace St, Chicago, IL 60616. The listed phone number is (312) 975-8268.
What is Integrative Primary Care And Mental Health Clinic, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Integrative Primary Care And Mental Health Clinic, LLC enrolled in Medicare?
Yes. Integrative Primary Care And Mental Health Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrative Primary Care And Mental Health Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Integrative Primary Care And Mental Health Clinic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Integrative Primary Care And Mental Health Clinic, LLC was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Integrative Primary Care And Mental Health Clinic · NPI 1154187433
Family organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since February 26, 2024.
## Identity
- **NPI:** 1154187433 (Entity type: Organization)
- **Enumerated:** February 26, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Integrative Primary Care And Mental Health Clinic, Llc
- **Organization subpart:** No
- **Authorized official:** Suzanne Chan, MANAGER
## Practice location
- **Address:** 3201 S WALLACE ST, Chicago, IL 60616-3501
- **Phone:** (312) 975-8268
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2024
- **Other identifiers:** Other 1154187433 (IL); Other 1497299689 (IL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1154187433) · Data from the CMS NPPES public registry.