Provider Demographics
NPI:1841599826
Name:RATAJCZAK, NATASHA (DPT)
Entity Type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:
Last Name:RATAJCZAK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 W VAN BUREN ST
Mailing Address - Street 2:SUITE 419
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-3523
Mailing Address - Country:US
Mailing Address - Phone:877-709-1090
Mailing Address - Fax:630-876-9187
Practice Address - Street 1:5677 OBERLIN DR
Practice Address - Street 2:SUITE 106
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1740
Practice Address - Country:US
Practice Address - Phone:858-457-8419
Practice Address - Fax:858-457-0670
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070021428225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist