Provider Demographics
NPI:1396112801
Name:BELLING, NATALIE E
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:E
Last Name:BELLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:FUMAGALLI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1322 S PRAIRIE AVE UNIT 1209
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3078
Mailing Address - Country:US
Mailing Address - Phone:779-875-5754
Mailing Address - Fax:
Practice Address - Street 1:1322 S PRAIRIE AVE UNIT 1209
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605
Practice Address - Country:US
Practice Address - Phone:779-875-5754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-01
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242003760235Z00000X
IL146013620235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist