Organization
ELITE INTEGRATED MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON P LAMARCHE DC (OWNER)
(815) 458-2225
Entity
Organization
Contact information
Practice address
1999 SPRINGBROOK SQUARE DR STE 103, NAPERVILLE, IL 60564-5962
(732) 845-6633
Mailing address
1999 SPRINGBROOK SQUARE DR STE 103, NAPERVILLE, IL 60564-5962
(732) 845-6633
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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