Healthcare Provider Details

I. General information

NPI: 1134495310
Provider Name (Legal Business Name): DR. NATALIE SGARLATA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2012
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 GATEWAY DR STE 204
SYCAMORE IL
60178-3192
US

IV. Provider business mailing address

1850 GATEWAY DR STE 204
SYCAMORE IL
60178-3192
US

V. Phone/Fax

Practice location:
  • Phone: 815-758-8671
  • Fax: 815-758-7460
Mailing address:
  • Phone: 815-758-8671
  • Fax: 815-758-7460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036137458
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: