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NPI Code Detail

MEDICARE: CANDIE NATALE DT

MEDICARE:   CANDIE  NATALE  DT
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1609068931
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDIE NATALE DT
Provider Business Mailing Address
First Line : 1025 S FERNANDEZ AVE APT 1P
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-3065
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3105 N WILKE RD STE H
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1450
Country : US
Telephone Number : 847-255-8690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2007
Last Update Date : 08/10/2007

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Directions to “ CANDIE NATALE DT” Practice Location

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