Custom Healing and Wellness INC

NPI #1447530852 in Richton Park, Illinois

Provider Information

NPI Number: 1447530852
Entity Type: Organization
Organization Name: Custom Healing and Wellness INC
Primary Specialty: Naprapath
Enumeration Date: Aug 17, 2011
Last Updated: Dec 8, 2015

Practice Location

Address: 5111 SAUK TRL STE F
Address 2: SUITE F
City: Richton Park
State: Illinois
ZIP Code: 60471-1060
Phone: (708) 980-2348

Authorized Official

Name: DR. SHANTE GRIGGS, PHARM D, DN
Title: CLINICAL PHARMACIST / NAPRAPATH
Phone: (708) 980-2348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Nutritionist	133N00000X
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	1835P0018X
Pharmacist - Nutrition Support — Nutrition Support	1835N1003X
Pharmacist	183500000X
Rehabilitation Practitioner	225400000X
Neuromusculoskeletal Medicine, Sports Medicine	204C00000X
Physical Medicine & Rehabilitation	208100000X
Naprapath	172P00000X	Primary

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