Provider Demographics
NPI:1003787953
Name:KONDZIOLKA, NATALIE HOPE
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:HOPE
Last Name:KONDZIOLKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6375 W HAFT ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-3601
Mailing Address - Country:US
Mailing Address - Phone:847-353-1553
Mailing Address - Fax:224-676-1676
Practice Address - Street 1:6375 W HAFT ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-3601
Practice Address - Country:US
Practice Address - Phone:847-353-1553
Practice Address - Fax:224-676-1676
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health