Natalia Maria Petravicius, M.S. CCC-SLP
Speech-Language Pathologist, in Lockport, IL. Individual provider (NPI-1).
NPI number1497488993
StatusActive
Last updated in NPPESOct 5, 2026
Details
- NPI
- 1497488993
- Entity type
- Individual (NPI-1)
- Name
- Natalia Maria Petravicius
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2022
- Certification date
- Oct 5, 2026
- Last updated
- Oct 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 146.017023 | IL | Yes |
Practice location
17503 S Gilbert DrLockport, IL 60441-1109
Phone 708-663-9746
Mailing address
17503 S Gilbert DrLockport, IL 60441-1109
Phone 708-663-9746
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All 31 Speech-Language Pathologist providers in Lockport · All 437 providers in Lockport
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