Provider Demographics
NPI:1689478661
Name:PAWLOWSKI, NATALIE CAROL
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:CAROL
Last Name:PAWLOWSKI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6308 W HOLBROOK ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-4607
Mailing Address - Country:US
Mailing Address - Phone:773-428-6677
Mailing Address - Fax:
Practice Address - Street 1:6308 W HOLBROOK ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-4607
Practice Address - Country:US
Practice Address - Phone:773-428-6677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.334409163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse