Provider Demographics
NPI:1790654713
Name:INTEGRATIVE PATHWAYS LLC
Entity type:Organization
Organization Name:INTEGRATIVE PATHWAYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-364-8890
Mailing Address - Street 1:16310 S LINCOLN HWY STE 132
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-9100
Mailing Address - Country:US
Mailing Address - Phone:815-782-8440
Mailing Address - Fax:815-926-5305
Practice Address - Street 1:16310 S LINCOLN HWY STE 132
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60586-9100
Practice Address - Country:US
Practice Address - Phone:815-782-8440
Practice Address - Fax:815-926-5305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty