Provider Demographics
NPI:1619494085
Name:FELIX, NATALIE LYNN (MS CCC-SLP/L)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:LYNN
Last Name:FELIX
Suffix:
Gender:F
Credentials:MS CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10508 RIDGE COVE DR APT 26D
Mailing Address - Street 2:
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415-1399
Mailing Address - Country:US
Mailing Address - Phone:773-895-5302
Mailing Address - Fax:
Practice Address - Street 1:120 WALKER AVE
Practice Address - Street 2:
Practice Address - City:CLARENDON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60514-1349
Practice Address - Country:US
Practice Address - Phone:773-895-5302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-27
Last Update Date:2017-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL145011203235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist