Provider Information for 1619271137
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CHIRALAINE C NATSCHKE
Sex: Female
NPI: 1619271137
Last Updated: 2010-12-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1619271137 | ||||||||
| Enumeration Date | 2010-12-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 17746 OAK PARK AVE TINLEY PARK, IL 60477-3936 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 20121 CRAWFORD AVE OLYMPIA FIELDS, IL 60461-1009 United States Phone: 708-754-8815 | Fax: | ||||||||
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