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Contact Information

CUSTOM HEALING AND WELLNESS MINISTRIES, NFP
3330 N MILWAUKEE AVE STE 1B
CHICAGO, IL60641-4001
 Phone: 312-872-7232
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Naprapath

172P00000X
 

Health & Wellness Coach

171400000X
 

Health Educator

174H00000X
 

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Neuromusculoskeletal Medicine, Sports Medicine

204C00000X 12 Physician/Osteopathic Manipulative Medicine
 

Nutrition Support

1835N1003X
 

Nutritionist

133N00000X
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Pharmacist

183500000X
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
 

Specialist

174400000X
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for CUSTOM HEALING AND WELLNESS MINISTRIES, NFP

NPI Number 1366119398
LBN Legal business name CUSTOM HEALING AND WELLNESS MINISTRIES, NFP
Authorized official SHANTE GRIGGS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/26/2021
Last updated 01/25/2023 - About 3 years 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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