Provider Demographics
NPI:1295076966
Name:BECKER, NATALIE (DC)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:BECKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:ESTERKAMP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2585 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1708
Mailing Address - Country:US
Mailing Address - Phone:630-729-7024
Mailing Address - Fax:630-963-4420
Practice Address - Street 1:2585 OGDEN AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1708
Practice Address - Country:US
Practice Address - Phone:630-729-7024
Practice Address - Fax:630-963-4420
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-06
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011237111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor