Provider Demographics
NPI:1336510601
Name:SANTOS NATURAL HEALTH CENTER,LTD
Entity Type:Organization
Organization Name:SANTOS NATURAL HEALTH CENTER,LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KHALAF
Authorized Official - Middle Name:H
Authorized Official - Last Name:KHALIFEH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-691-7406
Mailing Address - Street 1:6905 CERMAK RD STE B
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-2175
Mailing Address - Country:US
Mailing Address - Phone:708-317-4240
Mailing Address - Fax:844-273-9797
Practice Address - Street 1:6905 CERMAK RD STE B
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-2175
Practice Address - Country:US
Practice Address - Phone:708-317-4240
Practice Address - Fax:844-273-9797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-13
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012693111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty