Provider Demographics
NPI:1538385851
Name:FARMER, NATALIE M (DT)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:M
Last Name:FARMER
Suffix:
Gender:F
Credentials:DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8309 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-8602
Mailing Address - Country:US
Mailing Address - Phone:847-890-1227
Mailing Address - Fax:815-464-5466
Practice Address - Street 1:8309 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-8602
Practice Address - Country:US
Practice Address - Phone:847-890-1227
Practice Address - Fax:815-464-5466
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist