Provider Demographics
NPI:1144679325
Name:INTEGRITY ORTHOPEDICS AND PAIN LTD
Entity type:Organization
Organization Name:INTEGRITY ORTHOPEDICS AND PAIN LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:312-532-6070
Mailing Address - Street 1:PO BOX 388328
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60638-8328
Mailing Address - Country:US
Mailing Address - Phone:773-767-5991
Mailing Address - Fax:773-435-6403
Practice Address - Street 1:3055 W ARMITAGE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-3862
Practice Address - Country:US
Practice Address - Phone:773-772-3004
Practice Address - Fax:773-435-6403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X, 207R00000X, 207X00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty