Healthcare Provider Details

I. General information

NPI: 1164333902
Provider Name (Legal Business Name): ZEPHYR INTEGRATIVE WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1631 W PRATT BLVD APT 3W
CHICAGO IL
60626-6047
US

IV. Provider business mailing address

1631 W PRATT BLVD APT 3W
CHICAGO IL
60626-6047
US

V. Phone/Fax

Practice location:
  • Phone: 872-999-0051
  • Fax:
Mailing address:
  • Phone: 872-999-0051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. NATHANIEL RICHARD AUSTIN
Title or Position: FOUNDER
Credential: DNP, APRN
Phone: 872-999-0051