Provider Demographics
NPI:1801789656
Name:INTEGRATIVE HEALTH & HEALING, PLLC
Entity type:Organization
Organization Name:INTEGRATIVE HEALTH & HEALING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BIANCALANA-MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-824-6954
Mailing Address - Street 1:7440 W FULLERTON AVE
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60707-2633
Mailing Address - Country:US
Mailing Address - Phone:224-228-5103
Mailing Address - Fax:773-824-6954
Practice Address - Street 1:7440 W FULLERTON AVE
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:IL
Practice Address - Zip Code:60707-2633
Practice Address - Country:US
Practice Address - Phone:224-228-5103
Practice Address - Fax:773-824-6954
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTEGRATIVE HEALTH & HEALING, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)