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Contact Information

CUSTOM HEALING AND WELLNESS INC
5111 SAUK TRL STE F
SUITE F
RICHTON PARK, IL60471-1060
 Phone: 708-980-2348
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Naprapath

172P00000X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Neuromusculoskeletal Medicine, Sports Medicine

204C00000X 12 Physician/Osteopathic Manipulative Medicine
 

Nutrition Support

1835N1003X
 

Nutritionist

133N00000X
 

Pharmacist

183500000X
 

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

1835P0018X
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for CUSTOM HEALING AND WELLNESS INC

NPI # 1447530852
LBN Legal business name CUSTOM HEALING AND WELLNESS INC
Authorized official SHANTE GRIGGS - (CLINICAL PHARMACIST / NAPRAPATH)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2011
Last updated 12/08/2015 - About 10 years ago
Identifiers
IL License # 051292165
IL License # 181000392
NM License # 01013
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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