Organization
NATALIE JO PETROVICH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIE JO PETROVICH PSYD (PRESIDENT)
(630) 364-8306
Entity
Organization
Contact information
Practice address
939 W WASHINGTON BLVD APT 513, CHICAGO, IL 60607-2263
(630) 364-8306
(844) 990-4167
Mailing address
939 W WASHINGTON BLVD APT 513, CHICAGO, IL 60607-2263
(630) 364-8306
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649764010
PSYCHOLOGIST
IL
Enumeration date
04/10/2022
Last updated
04/13/2022
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