Provider Demographics
NPI:1861637977
Name:JULIAN, NATALIE (BA OF SCIENCE)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:JULIAN
Suffix:
Gender:F
Credentials:BA OF SCIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 S 13TH ST
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-3648
Mailing Address - Country:US
Mailing Address - Phone:630-377-7820
Mailing Address - Fax:
Practice Address - Street 1:549 S 13TH ST
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-3648
Practice Address - Country:US
Practice Address - Phone:630-377-7820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator