MRS. NATALIE THERIAULT MS, FNP-BC
NPI 1831564848
Nurse Practitioner - Family in Chicago, IL
Active since December 02, 2015
1765 N ELSTON AVE, SUITE 110, CHICAGO, IL 60642(773) 276-1100(773) 276-1102 Get Directions Write a Review
About Mrs. Natalie Theriault Ms, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NATALIE THERIAULT MS, FNP-BC (NPI 1831564848) is an individual family provider in Chicago, Illinois, licensed in Illinois (209013636) and active in the NPI registry since December 2015.
NPPES Registry Identity
NPI1831564848
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NATALIE THERIAULTCredential: MS, FNP-BC
Location Address1765 N ELSTON AVE, SUITE 110Chicago, IL 60642-1501
Mailing Address1765 N Elston Ave, Suite 110Chicago, IL 60642-1501 · (773) 276-1100 · Fax (773) 276-1102
Phone(773) 276-1100
Fax(773) 276-1102
Sole ProprietorNo
Enumeration DateDecember 2, 2015
✔ NPI 1831564848 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209013636
1765 N ELSTON AVE, Chicago, IL 60642
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Dermatology (MOHS-Micrographic Surgery)
1765 N ELSTON AVE, SUITE 110
CHICAGO, IL 60642
CHICAGO, IL 60642
Dermatology (Clinical & Laboratory Dermatological Immunology)
1765 N ELSTON AVE, SUITE 1600
CHICAGO, IL 60642
CHICAGO, IL 60642
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831564848, enumerated as an "individual" on December 02, 2015.
The provider is located at 1765 N ELSTON AVE SUITE 110 CHICAGO, IL 60642 and the phone number is (773) 276-1100.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
