Healthcare Provider Details

I. General information

NPI: 1538606470
Provider Name (Legal Business Name): NAPRAPATHY UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2017
Last Update Date: 01/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E 21ST ST UNIT 405
CHICAGO IL
60616-3190
US

IV. Provider business mailing address

320 E 21ST ST UNIT 405
CHICAGO IL
60616-3190
US

V. Phone/Fax

Practice location:
  • Phone: 312-647-5085
  • Fax:
Mailing address:
  • Phone: 312-647-5085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SHANTE GRIGGS
Title or Position: DIRECTOR
Credential: PHARMD, DN
Phone: 312-647-5085