NORTHSTAR INTEGRATED HEALTH & PHYSICAL MEDICINE CENTER, S.C.
NORTHSTAR INTEGRATED HEALTH & PHYSICAL MEDICINE CENTER, S.C. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1073869574, based in Lisle, IL. The organization lists 11 taxonomy classifications, with Family Nurse Practitioner recorded as primary.
Getting there
The practice address on file is 4513 LINCOLN AVE #212, Lisle, IL 60532. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 209009686 | IL | Family Nurse Practitioner primary |
| 038010007 | IL | Occupational Health Chiropractor |
| 041384754 | IL | Pain Management Registered Nurse |
| 036110569 | IL | Neuromusculoskeletal Medicine & OMM… |
| 036111510 | IL | Gynecology Physician |
| 036111510 | IL | General Practice Physician |
| 036110569 | IL | Pain Medicine Physician |
| 070019141 | IL | Physical Therapist |
| 209009686 | IL | Primary Care Nurse Practitioner |
| 209009686 | IL | Occupational Health Nurse Practitioner |
This provider holds licence 209009686 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0446495972
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
All registered taxonomy codes
This provider registers 11 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LF0000X | Family Nurse Practitioner Family | 209009686 | IL | primary |
| 111NX0100X | Occupational Health Chiropractor Occupational Health | 038010007 | IL | |
| 163WP0000X | Pain Management Registered Nurse Pain Management | 041384754 | IL | |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 036110569 | IL | |
| 207VG0400X | Gynecology Physician Gynecology | 036111510 | IL | |
| 208D00000X | General Practice Physician | 036111510 | IL | |
| 208VP0000X | Pain Medicine Physician Pain Medicine | 036110569 | IL | |
| 225100000X | Physical Therapist | 070019141 | IL | |
| 363LP2300X | Primary Care Nurse Practitioner Primary Care | 209009686 | IL | |
| 363LX0106X | Occupational Health Nurse Practitioner Occupational Health | 209009686 | IL | |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine | — | IL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1073869574 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 2, 2012 |
| Last updated | Feb 11, 2014 |
| Status | Active |
| Practice address |
4513 LINCOLN AVE #212 Lisle, IL 60532 (630) 795-1889 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 7 | 3 | 8 | 6 | 9 | 5 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 5 | 3 | 7 | 6 | 9 | 5 | 5 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.