Healthcare Provider Details

I. General information

NPI: 1164217899
Provider Name (Legal Business Name): NATALIE PUHAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2025
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 SUMMIT ST
ELGIN IL
60120-3733
US

IV. Provider business mailing address

240 E HURON ST STE 1-200
CHICAGO IL
60611-2909
US

V. Phone/Fax

Practice location:
  • Phone: 844-599-3700
  • Fax:
Mailing address:
  • Phone: 312-503-1851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085.012274
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: