| Doctor Name: | DR. CONNIE BEA NATVIG |
| NPI Number: | 1114902962 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | |
| Business Practice Address: | 16325 Harlem Ave Ste 200 Tinley Park, IL - 604772509 |
| Business Phone Number: | 7084296999 |
| Business Fax Number: | 7084296909 |
| Mailing Address: | 16325 Harlem Ave, Ste 200 TINLEY PARK |
| State: | IL |
| Postal Code: | 604772509 |
| Phone Number: | 7084296999 |
| Fax Number: | 7084296909 |
| NPI Enumeration Date: | 12/14/2005 |
| NPI Last Update Date: | 10/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |