Provider Demographics
NPI:1043606783
Name:HEALTHY SPINE NAPRAPATHIC CENTER, PC
Entity Type:Organization
Organization Name:HEALTHY SPINE NAPRAPATHIC CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DN
Authorized Official - Phone:773-463-7760
Mailing Address - Street 1:2952 W MONTROSE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-1413
Mailing Address - Country:US
Mailing Address - Phone:773-463-7760
Mailing Address - Fax:773-463-7761
Practice Address - Street 1:2952 W MONTROSE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-1413
Practice Address - Country:US
Practice Address - Phone:773-463-7760
Practice Address - Fax:773-463-7761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL181000331172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172P00000XOther Service ProvidersNaprapathGroup - Single Specialty