Provider Demographics
NPI:1992427884
Name:HABERNY, NATALIA
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:HABERNY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 W 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:IL
Mailing Address - Zip Code:60459-2279
Mailing Address - Country:US
Mailing Address - Phone:773-600-9021
Mailing Address - Fax:
Practice Address - Street 1:1514 S 9TH AVE
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-1951
Practice Address - Country:US
Practice Address - Phone:708-450-2009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist