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NPI Code Detail

MEDICARE: NATALIE SABO THERAPY, LLC

MEDICARE: NATALIE SABO THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor180.010292IL

General Provider Information

NPI Number : 1518448406
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATALIE SABO THERAPY, LLC
Provider Business Mailing Address
First Line : 1645 W SCHOOL ST APT 307
Second Line :
City : CHICAGO
State : IL
Zip : 60657-2154
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2451 N LINCOLN AVE STE 209
Second Line :
City : CHICAGO
State : IL
Zip : 60614-2422
Country : US
Telephone Number : 847-886-9960
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NATALIE SABO
Credential :
Telephone Number : 574-780-3945
Provider Enumeration Date : 08/28/2018
Last Update Date : 08/28/2018

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Directions to “NATALIE SABO THERAPY, LLC ” Practice Location

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