MRS. NATALIE THERIAULT


Address: 1765 N Elston Ave, Suite 110, Chicago, IL 60642-1501
Phone: 7732761100

MRS. NATALIE THERIAULT (NPI# 1831564848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831564848
Entity Type Individual
Full Name MRS. NATALIE THERIAULT
Credential MS, FNP-BC
Practice Address 1765 N Elston Ave
Suite 110
Chicago
IL 60642-1501
Practice Telephone 7732761100
Practice Fax Number 7732761102
Mailing Telephone 7732761100
Mailing Fax Number 7732761102
Enumeration Date 2015-12-02
Last Update Date 2015-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209013636 IL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 1765 N ELSTON AVE
SUITE 110
City CHICAGO
State IL
Zip Code 60642-1501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831139344 Meyer Horn Dermatology 1765 N Elston Ave, Suite 110, Chicago, IL 60642-1501 2006-06-07
1629676481 Donna Bagdasarian Physical Therapist 1765 N Elston Ave, Chicago, IL 60642-1501 2020-10-14
1366056053 Elizabeth Lorentzen Speech-Language Pathologist 1765 N Elston Ave, Chicago, IL 60642-1501 2020-09-01
1023620754 Emily Ann Marie Firmiss Speech-Language Pathologist 1765 N Elston Ave, Chicago, IL 60642-1501 2020-08-24
1508406380 Justine Rae Boudreau Behavioral Analyst 1765 N Elston Ave, Suite 206, Chicago, IL 60642-1501 2020-01-09
1629618673 Caitlin O'connor Speech-Language Pathologist 1765 N Elston Ave, Chicago, IL 60642-1501 2020-01-07
1326511544 Jennifer Herndon Behavioral Analyst 1765 N Elston Ave, Chicago, IL 60642-1501 2019-01-10
1053552240 Monica Rani Dermatology 1765 N Elston Ave, Suite 1600, Chicago, IL 60642-1501 2009-03-17
1376701623 Emily L Arch Dermatology 1765 N Elston Ave, Suite 110, Chicago, IL 60642-1501 2008-05-22
1386777241 Dermatology and Aesthetics of Wicker Park, LLC Specialist 1765 N Elston Ave, Suite 110, Chicago, IL 60642-1501 2007-03-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134612542 Lauren Gregorcy Social Worker 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 2018-06-11
1811409030 Athletico Ltd Physical Therapist 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 2017-10-27
1346759693 Rachel Sherron Counselor 938 N Elston, #1, Chicago, IL 60642 2017-09-28
1639612831 Empathic Resonance, LLC Clinic/Center 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 2016-11-21
1053867317 D Jamieson Brady Dentist 1249 N Greenview Ave Apt 1, Chicago, IL 60642 2016-08-28
1548646508 Kathryn Lee Massage Therapist 742 N Ada St, Unit 1, Chicago, IL 60642 2015-07-31
1497149694 Neda Bahrani Family Medicine 1460 N Halsted St Ste 401, Chicago, IL 60642 2015-03-25
1326439431 Sarah Perez Counselor 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 2015-02-11
1780097105 Michael Sotiriou Dermatology 1765 N Elston Ave Ste 110, Chicago, IL 60642 2014-06-03
1285067876 Tyler Pere Choate Speech-Language Pathologist 400 N. May Street, Chicago, IL 60642 2013-08-19
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700911 Laura Ivette Portillo Nurse Practitioner 2727 N Marmora Ave, Chicago, IL 60639-1219 2020-11-05
1265033385 Carolle M Derradji Nurse Practitioner 3256 W Potomac Ave, Chicago, IL 60651-2411 2020-11-04
1104427293 Katie Michelle O'halloran Nurse Practitioner 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 2020-11-04
1578163515 Deanna Bassette Nurse Practitioner 243 E 31st St Apt 401, Chicago, IL 60616-5212 2020-10-29
1891395745 Vrunda Shah Patel Nurse Practitioner 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 2020-10-29
1881291706 Rita Elue Nurse Practitioner 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 2020-10-04
1558976514 Janice Nicole Kinney Nurse Practitioner 10127 S Harding Ave, Chicago, IL 60655-3748 2020-09-15
1881209278 Monique Graves Nurse Practitioner 4912 W Adams St Apt 2, Chicago, IL 60644-4445 2020-09-11
1194339721 Maureen Iyesogie Diji Nurse Practitioner 4658 S Ellis Ave, Chicago, IL 60653-3625 2020-09-01
1669085395 Emily Calderon Nurse Practitioner 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 2020-08-24
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Competitor

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City CHICAGO
Zip Code 60642

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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