Organization
CUSTOM HEALING AND WELLNESS INC
Active
Other names
Griggs Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTE GRIGGS PHARM D, DN (CLINICAL PHARMACIST / NAPRAPATH)
(708) 980-2348
Entity
Organization
Contact information
Practice address
5111 SAUK TRL STE F, SUITE F, RICHTON PARK, IL 60471-1060
(708) 980-2348
Mailing address
5111 SAUK TRL STE F, SUITE F, RICHTON PARK, IL 60471-1060
(708) 980-2348
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
181000392
IL
172P00000X
Naprapath
Primary
181000392
IL
183500000X
Pharmacist
051292165
IL
1835N1003X
Nutrition Support Pharmacist
051292165
IL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
051292165
IL
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
01013
NM
208100000X
Physical Medicine & Rehabilitation Physician
01013
NM
225400000X
Rehabilitation Practitioner
181000392
IL
261QM1300X
Multi-Specialty Clinic/Center
051292165
IL
Other
Enumeration date
08/17/2011
Last updated
12/08/2015
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