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General NPI Number Information
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NPI Number | 1881969541
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Entity Type | Organization
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Legal Business Name | CONNIE B. NATVIG PH.D., PC
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Dates
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Enumeration Date | 03/14/2012
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 477 E BUTTERFIELD ROAD SUITE 107
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City | LOMBARD
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State | IL
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Zip | 60148
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Country | US
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Telephone | 708-955-4950
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Fax |
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Provider Business Mailing Address
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Address Line | 477 E BUTTERFIELD ROAD SUITE 107
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City | LOMBARD
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State | IL
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Zip | 60148
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Country | US
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Telephone | 708-955-4950
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Fax |
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | DR. CONNIE BEA NATVIG
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Credential | PH.D.
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Telephone | 708-955-4950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071004997
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License Number State | IL
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