| Doctor Name: | NATALIE JINETE |
| NPI Number: | 1043680465 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 178.011986 |
| Business Practice Address: | 1414 Main St Melrose Park, IL - 601603902 |
| Business Phone Number: | 7086810073 |
| Business Fax Number: | 7086813958 |
| Mailing Address: | 1820 S 25th Ave, BROADVIEW |
| State: | IL |
| Postal Code: | 601552864 |
| Phone Number: | 7086810073 |
| Fax Number: | 7086813958 |
| NPI Enumeration Date: | 09/28/2015 |
| NPI Last Update Date: | 05/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 178.011986 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |