Healthcare Provider Details

I. General information

NPI: 1821928060
Provider Name (Legal Business Name): NATALIE GROGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 HILLSBORO BLVD
AURORA IL
60503-5416
US

IV. Provider business mailing address

2830 HILLSBORO BLVD
AURORA IL
60503-5416
US

V. Phone/Fax

Practice location:
  • Phone: 630-636-3100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146.018709
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: