Provider Demographics
NPI:1467586750
Name:HEALING PATHWAYS, S.C.
Entity Type:Organization
Organization Name:HEALING PATHWAYS, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KIYOSHI
Authorized Official - Middle Name:G
Authorized Official - Last Name:MURAKAMI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-439-6161
Mailing Address - Street 1:23909 W. RENWICK RD. #113E.
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-0989
Mailing Address - Country:US
Mailing Address - Phone:815-439-6161
Mailing Address - Fax:815-439-6160
Practice Address - Street 1:23909 W. RENWICK RD. #113E.
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-0989
Practice Address - Country:US
Practice Address - Phone:815-439-6161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.010881111N00000X
IL038010881111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherF.E.I.N.