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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209013636 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
Street Address |
1765 N ELSTON AVE SUITE 110 |
City | CHICAGO |
State | IL |
Zip Code | 60642-1501 |
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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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 |
Find all providers in zip 60642 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in CHICAGO |
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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.