Healthcare Provider Details

I. General information

NPI: 1467856005
Provider Name (Legal Business Name): NAPRAPATHY, INTEGRATIVE HEALTH & WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2014
Last Update Date: 12/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 N WABASH AVE SUITE 450
CHICAGO IL
60602-4704
US

IV. Provider business mailing address

17 N WABASH AVE SUITE 450
CHICAGO IL
60602-4704
US

V. Phone/Fax

Practice location:
  • Phone: 312-285-2121
  • Fax: 312-285-2985
Mailing address:
  • Phone: 312-285-2121
  • Fax: 312-285-2985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number181000386
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code172P00000X
TaxonomyNaprapath
License Number181000386
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code172P00000X
TaxonomyNaprapath
License Number01006
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number181000386
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number01006
License Number StateNM
# 6
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number01006
License Number StateNM

VIII. Authorized Official

Name: DR. MARY A CAVENDER
Title or Position: OWNER
Credential: DN
Phone: 312-285-2121