Healthcare Provider Details
I. General information
NPI: 1932536836
Provider Name (Legal Business Name): NATURAL SOLUTIONS CHIROPRACTIC AND NUTRITION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2013
Last Update Date: 09/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 W PHILLIP RD SUITE 114
VERNON HILLS IL
60061-1799
US
IV. Provider business mailing address
2265 HIGH POINT DR
LINDENHURST IL
60046-8813
US
V. Phone/Fax
- Phone: 224-577-5031
- Fax: 224-633-1955
- Phone: 224-577-5031
- Fax: 224-633-1955
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 038012025 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | 164006176 |
| License Number State | IL |
VIII. Authorized Official
Name: DR.
SARAH
GRAEF
Title or Position: CHIROPRACTIC PHYSICIAN
Credential: DC, CCN, LDN
Phone: 224-577-5031