<Unavail>

LBN: Custom Healing And Wellness Inc
<Unavail> is an health care organization with primary practice located at 5111 Sauk Trl Ste F Suite F, Richton Park IL 60471-1060. The organization recently has 9 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Other Service Providers / Naprapath, Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Nutrition Support, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Ambulatory Health Care Facilities / Multi-Specialty. Other Service Providers / Naprapath is the primary health care specialty. Custom Healing And Wellness Inc can be contacted via phone (708) 980-2348, or through Griggs, Shante via phone (708) 980-2348.

Contact Information

Primary practice address
5111 Sauk Trl Ste F Suite F Richton Park IL 60471-1060
Phone: (708) 980-2348
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Griggs, Shante PHARM D, DN
Phone: (708) 980-2348

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 181000392 Illinois
Other Service Providers / Naprapath 172P00000X 181000392 Illinois
Pharmacy Service Providers / Pharmacist 183500000X 051292165 Illinois
Pharmacy Service Providers / Nutrition Support 1835N1003X 051292165 Illinois
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 051292165 Illinois
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X 01013 New Mexico
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01013 New Mexico
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 181000392 Illinois
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 051292165 Illinois

Profile Details

NPI number 1447530852
LBN Legal business name Custom Healing And Wellness Inc
DBA Doing business as <Unavail>
Authorized official Griggs, Shante PHARM D, DN
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2011
Last updated Dec 8th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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