Individual
NATALIE BROOKE EPISCOPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
E.D.
Contact information
Practice address
400 6TH AVE, LA GRANGE, IL 60525-2438
(708) 712-0851
Mailing address
400 6TH AVE, LA GRANGE, IL 60525-2438
(708) 712-0851
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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