Active NPI
Custom Healing and Wellness Ministries, NFP
- Naprapath
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naprapath
- Legal business name
- CUSTOM HEALING AND WELLNESS MINISTRIES, NFP
- Practice address
- 3330 N Milwaukee Ave Ste 1B
Chicago, IL 60641-4001 - Phone
- (312) 872-7232
- NPI assigned
- Aug 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shante Griggs, PHARMD, DN
- Title
- Executive Director
- Phone
- (312) 872-7232
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Health & Wellness Coach | 171400000X | |||
| Naprapath | 172P00000X | Primary | ||
| Specialist | 174400000X | |||
| Health Educator | 174H00000X | |||
| Pharmacist | 183500000X | |||
| Nutrition Support Pharmacist | 1835N1003X | |||
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | |||
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | |||
| Public Health & General Preventive Medicine Physician | 2083P0901X | |||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
3330 N Milwaukee Ave Ste 1B
Chicago, IL 60641-4001
Mailing address
320 E 21St St Unit 405
Chicago, IL 60616-4979
Phone (312) 872-7232
Other practice location 1
2404 E 79th St
Chicago, IL 60649-5112
Phone (312) 872-7232
Other practice location 2
17 N Wabash Ave Ste 450
Chicago, IL 60602-4878
Phone (312) 872-7232
Other names 1
- Dr Shante Rx
National Provider Directory
National Provider DirectoryLocations
2404 E 79th St
Chicago, IL 60649
Phone (312) 978-5900
3330 N Milwaukee Ave
Ste 1B
Chicago, IL 60641
Phone (312) 872-7232
17 N Wabash Ave
Ste 450
Chicago, IL 60602
Phone (312) 285-2121
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674604800000",
"number": "1366119398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 E 21ST ST UNIT 405",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606164979",
"telephone_number": "312-872-7232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 N MILWAUKEE AVE STE 1B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606414001",
"telephone_number": "312-872-7232"
}
],
"practiceLocations": [
{
"address_1": "2404 E 79th St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606495112",
"country_code": "US",
"telephone_number": "312-872-7232",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 N Wabash Ave Ste 450",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606024878",
"country_code": "US",
"telephone_number": "312-872-7232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CUSTOM HEALING AND WELLNESS MINISTRIES, NFP",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-26",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A",
"authorized_official_last_name": "GRIGGS",
"authorized_official_first_name": "SHANTE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "312-872-7232",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD, DN"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "172P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Naprapath",
"state": null,
"license": null,
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1835N1003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist, Nutrition Support",
"state": null,
"license": null,
"primary": false
},
{
"code": "204C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081N0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr Shante Rx",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.