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Contact Information

4 INTEGRATED HEALTH LLC
825 W JACKSON ST
MORTON, IL61550-1569
 Phone: 309-291-0469
 Fax: 309-291-0467
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for 4 INTEGRATED HEALTH LLC

NPI # 1962239376
LBN Legal business name 4 INTEGRATED HEALTH LLC
Authorized official SHANNON KUNKLE - (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date 09/18/2024
Last updated 12/23/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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