Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northstar Integrated Health & Physical Medicine Center, SC

Organization Occupational Health Chiropractor · NPI 1073869574

Northstar Integrated Health & Physical Medicine Center, SC is an Occupational Health Chiropractor in Lisle, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
11

Practice location Address checks out

4513 Lincoln Ave #212
Lisle, IL 60532-1289
Phone: (630) 795-1889
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209009686 (IL)
Occupational Health Chiropractor Taxonomy 111NX0100X · Licence 038010007 (IL)
Pain Management Registered Nurse Taxonomy 163WP0000X · Licence 041384754 (IL)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence 036110569 (IL)
Gynecology Physician Taxonomy 207VG0400X · Licence 036111510 (IL)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X (IL)
General Practice Physician Taxonomy 208D00000X · Licence 036111510 (IL)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 036110569 (IL)
Physical Therapist Taxonomy 225100000X · Licence 070019141 (IL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 209009686 (IL)
Occupational Health Nurse Practitioner Taxonomy 363LX0106X · Licence 209009686 (IL)

Record details

NPI number1073869574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Rieselman — Owner · (630) 795-1889
NPI enumeratedAugust 2, 2012
Last updated in NPPESFebruary 11, 2014
Mailing address4513 Lincoln Ave, 212, Lisle, IL 60532-1289