Healthcare Provider Details

I. General information

NPI: 1295649721
Provider Name (Legal Business Name): NATALIE CUTLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 W JACKSON BLVD
CHICAGO IL
60604-3606
US

IV. Provider business mailing address

305 QUAIL RIDGE DR
WESTMONT IL
60559-6144
US

V. Phone/Fax

Practice location:
  • Phone: 630-580-8080
  • Fax:
Mailing address:
  • Phone: 630-580-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number178.033552
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: