Provider Demographics
NPI:1487300836
Name:NAPRAPATHIC MEDICINE OF THE NORTH SHORE LLC
Entity type:Organization
Organization Name:NAPRAPATHIC MEDICINE OF THE NORTH SHORE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTOANETA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CONDURAT
Authorized Official - Suffix:
Authorized Official - Credentials:DN
Authorized Official - Phone:847-241-8373
Mailing Address - Street 1:3837 KIRK ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-3419
Mailing Address - Country:US
Mailing Address - Phone:847-241-8373
Mailing Address - Fax:847-241-8373
Practice Address - Street 1:6677 N LINCOLN AVE STE 310
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-3634
Practice Address - Country:US
Practice Address - Phone:847-241-8373
Practice Address - Fax:847-241-8373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172P00000XOther Service ProvidersNaprapathGroup - Single Specialty