Healthcare Provider Details
I. General information
NPI: 1811342769
Provider Name (Legal Business Name): LORENZ NAPRAPATHS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2016
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1721 MOON LAKE BLVD STE 410
HOFFMAN ESTATES IL
60169-1073
US
IV. Provider business mailing address
185 AMHERST DR
BARTLETT IL
60103-4671
US
V. Phone/Fax
- Phone: 312-801-4201
- Fax:
- Phone: 312-801-4201
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 172P00000X |
| Taxonomy | Naprapath |
| License Number | 181000390 |
| License Number State | IL |
VIII. Authorized Official
Name: DR.
NICHOLAS
EDWARD
LORENZ
Title or Position: OWNER
Credential: D.N.
Phone: 312-801-4201