| Doctor Name: | DR. THOMAS JOSE NARATADAM |
| NPI Number: | 1346617693 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D |
| License Number: | 180009851 |
| Business Practice Address: | 800 E Northwest Hwy Suite 106 Mount Prospect, IL - 600563457 |
| Business Phone Number: | 3122867460 |
| Business Fax Number: | |
| Mailing Address: | 800 E Northwest Hwy, Suite 106 MOUNT PROSPECT |
| State: | IL |
| Postal Code: | 600563457 |
| Phone Number: | 3122867460 |
| Fax Number: | |
| NPI Enumeration Date: | 08/21/2015 |
| NPI Last Update Date: | 08/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180009851 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |