Healthcare Provider Details

I. General information

NPI: 1265166029
Provider Name (Legal Business Name): NATHANIEL JEFFERY CATCHINGS II LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2022
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 W PARK AVE STE 150
ELMHURST IL
60126-3348
US

IV. Provider business mailing address

180 W PARK AVE STE 150
ELMHURST IL
60126-3348
US

V. Phone/Fax

Practice location:
  • Phone: 888-428-7890
  • Fax:
Mailing address:
  • Phone: 888-428-7890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178020224
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: