MEDICARE: CHICAGO NATURAL HEALTH CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NN1001X	Nutrition Chiropractor
2	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1164901906
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGO NATURAL HEALTH CARE

Provider Business Mailing Address
First Line	:	5443 N GLENWOOD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-1226
Country	:	US
Telephone Number	:	773-418-6877
Fax Number	:

Provider Business Practice Location Address
First Line	:	3432 W DIVERSEY AVE STE 253
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-1221
Country	:	US
Telephone Number	:	773-418-6877
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANTHONY CRIFASE
Credential	:	DC, CNS
Telephone Number	:	773-418-6877

Provider Enumeration Date	:	08/13/2018
Last Update Date	:	08/13/2018

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Directions to “CHICAGO NATURAL HEALTH CARE ” Practice Location

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