| NPI | 1447530852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTE GRIGGS Clinical Pharmacist / Naprapath 708-980-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172P00000X Naprapath (Licence: IL 181000392) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty (Licence: IL 051292165) |
| 133N00000X Nutritionist (Licence: IL 181000392) | |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IL 051292165) | |
| 1835N1003X Pharmacist Nutrition Support (Licence: IL 051292165) | |
| 183500000X Pharmacist (Licence: IL 051292165) | |
| 225400000X Rehabilitation Practitioner (Licence: IL 181000392) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NM 01013) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NM 01013) | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2015-12-08 |