Healthcare Provider Details

I. General information

NPI: 1982193835
Provider Name (Legal Business Name): NATALIA KACZMAREK PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2018
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SKOKIE BLVD STE 255
NORTHBROOK IL
60062-4054
US

IV. Provider business mailing address

900 SKOKIE BLVD STE 255
NORTHBROOK IL
60062-4054
US

V. Phone/Fax

Practice location:
  • Phone: 312-870-0120
  • Fax: 312-819-2080
Mailing address:
  • Phone: 312-870-0120
  • Fax: 312-819-2080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number071009646
License Number StateIL

VIII. Authorized Official

Name: DR. NATALIA KACZMAREK
Title or Position: LICENSED CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 312-870-0120