Organization
NATIONAL CENTER FOR INTEGRATIVE MEDICINE
Active
Other names
NCIM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAO KILARU M.D. (PRESIDENT/CEO)
(815) 330-3100
Entity
Organization
Contact information
Practice address
3100 THEODORE ST, JOLIET, IL 60435-8534
(815) 330-3100
(815) 330-3115
Mailing address
3100 THEODORE ST, JOLIET, IL 60435-8534
(815) 330-3100
(815) 330-3115
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38.011832
IL
207P00000X
Emergency Medicine Physician
Primary
36.060189
IL
207Q00000X
Family Medicine Physician
36.113633
IL
363A00000X
Physician Assistant
85.003604
IL
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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