Provider Demographics
NPI:1720620388
Name:WILFINGER, NATAY LIN
Entity Type:Individual
Prefix:
First Name:NATAY
Middle Name:LIN
Last Name:WILFINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 HIGH SCHOOL DR
Mailing Address - Street 2:
Mailing Address - City:ROUND LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60073-2951
Mailing Address - Country:US
Mailing Address - Phone:847-270-9300
Mailing Address - Fax:
Practice Address - Street 1:800 HIGH SCHOOL DR
Practice Address - Street 2:
Practice Address - City:ROUND LAKE
Practice Address - State:IL
Practice Address - Zip Code:60073-2951
Practice Address - Country:US
Practice Address - Phone:847-270-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist