NPIMap

Custom Healing and Wellness Inc

Organization Active NPI Naprapath · Richton Park, IL

NPI 1447530852 · NPPES record last updated Dec 8, 2015

Key facts

NPI
1447530852
Entity type
Organization (NPI type 2)
Primary specialty
Naprapath 172P00000X
License
181000392 (IL)
Legal business name
CUSTOM HEALING AND WELLNESS INC
Practice address
5111 Sauk TRL Ste F
Suite F
Richton Park, IL 60471-1060
Phone
(708) 980-2348
NPI assigned
Aug 17, 2011
Organization subpart
No

Authorized official

Name
Dr. Shante Griggs, PHARM D, DN
Title
Clinical Pharmacist / Naprapath
Phone
(708) 980-2348

National Provider Directory

Locations

5111 Sauk Trl
Ste F
Richton Park, IL 60471
Phone (708) 980-2348

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist
Group: 193200000X MULTI-SPECIALTY GROUP		 133N00000X 181000392 IL
Naprapath
Group: 193200000X MULTI-SPECIALTY GROUP		 172P00000X 181000392 IL Yes
Pharmacist
Group: 193200000X MULTI-SPECIALTY GROUP		 183500000X 051292165 IL
Nutrition Support Pharmacist
Group: 193200000X MULTI-SPECIALTY GROUP		 1835N1003X 051292165 IL
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Group: 193200000X MULTI-SPECIALTY GROUP		 1835P0018X 051292165 IL
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 204C00000X 01013 NM
Physical Medicine & Rehabilitation Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208100000X 01013 NM
Rehabilitation Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 225400000X 181000392 IL
Multi-Specialty Clinic/Center 261QM1300X 051292165 IL

Addresses

Primary practice location

5111 Sauk TRL Ste F
Suite F
Richton Park, IL 60471-1060

Mailing address

5111 Sauk TRL Ste F
Suite F
Richton Park, IL 60471-1060
Phone (708) 980-2348

Other names

  • Griggs Care Doing business as

Other providers in Richton Park, IL

All providers in Richton Park, IL · Naprapath in Illinois

Sources for this page

Verify at the official NPI Registry.