# INTEGRA HEALTHCARE SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083000350
- **Authorized official:** SACHIN JAIN MD (OWNER)
- **Authorized official phone:** (847) 623-7590

## Contact information

- **Practice address:** 2504 WASHINGTON ST STE 102, WAUKEGAN, IL 60085-4960
- **Practice address phone:** (847) 623-7590
- **Practice address fax:** (847) 623-7591
- **Mailing address:** 5 TIMBERWOOD LN, RIVERWOODS, IL 60015-2463
- **Mailing address phone:** (847) 858-2083
- **Mailing address fax:** (224) 235-4415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036.128223 | IL | Yes |

## Other

- **Enumeration date:** 04/13/2015
- **Last updated:** 01/04/2019