Healthcare Provider Details

I. General information

NPI: 1346154465
Provider Name (Legal Business Name): 2 NATURAL ROOTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 HUNTINGTON CT
OSWEGO IL
60543-8438
US

IV. Provider business mailing address

1755 PARK ST STE 200
NAPERVILLE IL
60563-8404
US

V. Phone/Fax

Practice location:
  • Phone: 630-465-6962
  • Fax: 877-497-3567
Mailing address:
  • Phone: 720-232-6877
  • Fax: 877-497-3567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHERLY NATACHA AUGUSTIN
Title or Position: CEO & FOUNDER
Credential: CCPS
Phone: 630-465-6962