Healthcare Provider Details

I. General information

NPI: 1760761621
Provider Name (Legal Business Name): NATALIA EICHSTAEDT LAC, CSMA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2011
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 WOLF RD
WESTERN SPRINGS IL
60558-1452
US

IV. Provider business mailing address

4200 WOLF RD
WESTERN SPRINGS IL
60558-1452
US

V. Phone/Fax

Practice location:
  • Phone: 312-731-1103
  • Fax:
Mailing address:
  • Phone: 312-731-1103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number198.000824
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: