# INTEGRATED HEALTH SERVICES, LLC

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

## Provider details

- **NPI number:** 1841456761
- **Authorized official:** RICHARD A PERRY (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (608) 361-6130

## Contact information

- **Practice address:** 74 ECLIPSE CTR, BELOIT, WI 53511-3550
- **Practice address phone:** (608) 361-0311
- **Mailing address:** 74 ECLIPSE CTR, BELOIT, WI 53511-3550
- **Mailing address phone:** (608) 361-0311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 07/30/2008
- **Last updated:** 06/03/2009