Provider Demographics
NPI: | 1346393568 |
---|---|
Name: | CHICAGO NATIONAL COLLEGE OF NAPRAPATHY, INC. |
Entity type: | Organization |
Organization Name: | CHICAGO NATIONAL COLLEGE OF NAPRAPATHY, INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR / PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | SHANTE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | GRIGGS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PHARMD, DN |
Authorized Official - Phone: | 773-282-2686 |
Mailing Address - Street 1: | 3330 N MILWAUKEE AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | CHICAGO |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60641-4001 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 773-282-2686 |
Mailing Address - Fax: | 773-282-2688 |
Practice Address - Street 1: | 3330 N MILWAUKEE AVE |
Practice Address - Street 2: | |
Practice Address - City: | CHICAGO |
Practice Address - State: | IL |
Practice Address - Zip Code: | 60641-4001 |
Practice Address - Country: | US |
Practice Address - Phone: | 773-282-2686 |
Practice Address - Fax: | 773-282-2688 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-01-19 |
Last Update Date: | 2021-09-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
133N00000X, 133NN1002X, 172P00000X, 174H00000X, 204C00000X, 204D00000X, 208100000X, 2081N0008X, 2081P2900X, 2081S0010X, 2083S0010X, 208VP0000X, 225400000X, 226300000X | ||
IL | NAPGRP333 | 174400000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 172P00000X | Other Service Providers | Naprapath | Group - Multi-Specialty | |
No | 133N00000X | Dietary & Nutritional Service Providers | Nutritionist | Group - Multi-Specialty | |
No | 133NN1002X | Dietary & Nutritional Service Providers | Nutritionist | Nutrition, Education | Group - Multi-Specialty |
No | 174400000X | Other Service Providers | Specialist | Group - Multi-Specialty | |
No | 174H00000X | Other Service Providers | Health Educator | Group - Multi-Specialty | |
No | 204C00000X | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine, Sports Medicine | Group - Multi-Specialty | |
No | 204D00000X | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine & OMM | Group - Multi-Specialty | |
No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
No | 2081N0008X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Neuromuscular Medicine | Group - Multi-Specialty |
No | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine | Group - Multi-Specialty |
No | 2081S0010X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Sports Medicine | Group - Multi-Specialty |
No | 2083S0010X | Allopathic & Osteopathic Physicians | Preventive Medicine | Sports Medicine | Group - Multi-Specialty |
No | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | Group - Multi-Specialty |
No | 225400000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Practitioner | Group - Multi-Specialty | |
No | 226300000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Kinesiotherapist | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
IL | 21623211 | Other | BCBS PROVIDER NO. |