Provider Demographics
NPI:1245256338
Name:FROBISH, NATALIE J (DC)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:J
Last Name:FROBISH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:JEAN
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 362
Mailing Address - Street 2:
Mailing Address - City:SPRING GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60081-0362
Mailing Address - Country:US
Mailing Address - Phone:815-675-0699
Mailing Address - Fax:815-675-0689
Practice Address - Street 1:2900 N. US HIGHWAY 12
Practice Address - Street 2:SUITE J
Practice Address - City:SPRING GROVE
Practice Address - State:IL
Practice Address - Zip Code:60081-8322
Practice Address - Country:US
Practice Address - Phone:815-675-0699
Practice Address - Fax:815-675-0689
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038009076111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U89180Medicare UPIN
ILL90737Medicare ID - Type Unspecified