Provider Demographics
NPI:1366128431
Name:EPSTEIN, NATHANIEL AARON
Entity type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:AARON
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5841 N KENMORE AVE APT 1S
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-3754
Mailing Address - Country:US
Mailing Address - Phone:917-326-1155
Mailing Address - Fax:
Practice Address - Street 1:955 N PLUM GROVE RD STE C
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4784
Practice Address - Country:US
Practice Address - Phone:847-884-0210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor