Provider Demographics
NPI:1164901906
Name:CHICAGO NATURAL HEALTH CARE
Entity Type:Organization
Organization Name:CHICAGO NATURAL HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRIFASE
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CNS
Authorized Official - Phone:773-418-6877
Mailing Address - Street 1:5443 N GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-1226
Mailing Address - Country:US
Mailing Address - Phone:773-418-6877
Mailing Address - Fax:
Practice Address - Street 1:3432 W DIVERSEY AVE STE 253
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-1221
Practice Address - Country:US
Practice Address - Phone:773-418-6877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty