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INTEGRATIVE PRIMARY CARE AND MENTAL HEALTH CLINIC
NPI 1154187433
Nurse Practitioner - Family in Chicago, IL

Active since February 26, 2024
3201 S WALLACE ST, CHICAGO, IL 60616(312) 975-8268 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2024, Aug 15, 2024, Aug 8, 2024 and 3 more (6 updates tracked since 2024).

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

NPI1154187433
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameINTEGRATIVE PRIMARY CARE AND MENTAL HEALTH CLINIC, LLC
Location Address3201 S WALLACE STChicago, IL 60616-3501
Mailing Address3201 S Wallace StChicago, IL 60616-3501 · (312) 975-8268
Phone(312) 975-8268
Organization SubpartNo
Authorized OfficialSuzanne ChanManager · (312) 975-8268
Enumeration DateFebruary 26, 2024
Last NPPES UpdateSeptember 6, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1154187433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
3201 S WALLACE ST, Chicago, IL 60616
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Other Names 1

Doing Business AsIntegrative Primary Care And Mental Health Clinic

Other Identifiers 2

Other1154187433IL · Group Npi
Other1497299689IL · Individual Npi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2308828

Integrative Primary Care & Mental Health Clinic Ll · Chicago, IL
Expired · Aug 4, 2026
CLIA Number14D2308828
Laboratory TypePractitioner Other
Certificate Effective DateAugust 5, 2024
Certificate Expiration DateAugust 4, 2026
Laboratory DirectorSuzanne Chan
Laboratory Phone(312) 975-8268
Laboratory LocationIntegrative Primary Care & Mental Health Clinic Ll3201 S Wallace St, Chicago, IL 60616
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

SHAWN LIN
Dentist
3201 S WALLACE ST
CHICAGO, IL 60616
Cook County (312) 842-7846
BRIDGEPORT FAMILY MEDICAL CENTER S.C.
General Practice
3201 S WALLACE ST
CHICAGO, IL 60616
Cook County (312) 326-3200
MR. SNEHAL K BHAVSAR RPH
Pharmacist
3201 S WALLACE ST
CHICAGO, IL 60616
Cook County (312) 791-9000
SHAWN LIN DDS PC
Clinic/Center (Dental)
3201 S WALLACE ST
CHICAGO, IL 60616
Cook County (650) 302-6668
BRIDGEPORT PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
3201 S WALLACE ST
CHICAGO, IL 60616
Cook County (312) 791-9000
SUZANNE CHAN DNP,FNP-BC, PMHNP-BC
Nurse Practitioner (Family)
3201 S WALLACE ST
CHICAGO, IL 60616
Cook County (312) 248-8610
BRIDGEPORT FAMILY MEDICAL CENTER S.C.
Family Medicine
3201 S WALLACE ST
CHICAGO, IL 60616
Cook County (312) 326-3200
DR. MICHAEL STEINMETZ DMD
Dentist (General Practice)
3201 S WALLACE ST
CHICAGO, IL 60616
Cook County (312) 842-7846

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.

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 23 months 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.