MEDICARE: NATALIE HERRICK

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1538096482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE HERRICK

Provider Business Mailing Address
First Line	:	1585 N MILWAUKEE AVE STE 109
Second Line	:
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-1359
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1585 N MILWAUKEE AVE STE 109
Second Line	:
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-1359
Country	:	US
Telephone Number	:	224-707-4321
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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Directions to “ NATALIE HERRICK ” Practice Location

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