Provider Demographics
NPI:1033535943
Name:CRAMAROSSO, NATALIE (MOT)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:CRAMAROSSO
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 N WOLCOTT AVE
Mailing Address - Street 2:UNIT 2B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-2075
Mailing Address - Country:US
Mailing Address - Phone:773-419-9435
Mailing Address - Fax:773-348-2073
Practice Address - Street 1:3201 N WOLCOTT AVE
Practice Address - Street 2:UNIT 2B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-2075
Practice Address - Country:US
Practice Address - Phone:773-419-9435
Practice Address - Fax:773-348-2073
Is Sole Proprietor?:No
Enumeration Date:2014-03-16
Last Update Date:2014-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056010450225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics