Connie B. Natvig, Ph.d., P.c. | |
16325 Harlem Ave Ste 200 Tinley Park IL 60477-2509 | |
(708) 691-7922 | |
Not Available |
Full Name | Connie B. Natvig, Ph.d., P.c. |
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Speciality | Psychologist |
Location | 16325 Harlem Ave, Tinley Park, Illinois |
Authorized Official Name and Position | Connie B. Natvig (LICENSED CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 7086917922 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Connie B. Natvig, Ph.d., P.c. 16325 Harlem Ave Ste 200 Tinley Park IL 60477-2509 Ph: (708) 691-7922 | Connie B. Natvig, Ph.d., P.c. 16325 Harlem Ave Ste 200 Tinley Park IL 60477-2509 Ph: (708) 691-7922 |
NPI Number | 1881969541 |
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Provider Enumeration Date | 03/14/2012 |
Last Update Date | 03/14/2012 |
Medicare PECOS PAC ID | 2769638014 |
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Medicare Enrollment ID | O20120802000162 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881969541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 071004997 (Illinois) | Primary |
Provider Name | Connie B Natvig |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1114902962 PECOS PAC ID: 7214119718 Enrollment ID: I20110304000161 |
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