MEDICARE: KATHERINE WOLLNER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0401X	Addiction Medicine (Family Medicine) Physician	036.149272	IL
2	207Q00000X	Family Medicine Physician	036.149272	IL

General Provider Information

NPI Number	:	1386080943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE WOLLNER M.D.

Provider Business Mailing Address
First Line	:	1919 W TAYLOR ST # 145
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-7246
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	722 W MAXWELL ST # 397
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-5002
Country	:	US
Telephone Number	:	312-996-2901
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2013
Last Update Date	:	07/10/2025

Similar Medicare Providers

1447390125 — BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Practice Location Address:

722 W MAXWELL ST , ROOM 205 MC 184
CHICAGO, IL
60607-5002

Practice Phone: 312-355-2345
Practice Fax: 312-355-1916

1497960405 — DR. MARLOWE MEGAN DJURIC PHARM.D.
Practice Location Address:

722 W MAXWELL ST , SUITE 205
CHICAGO, IL
60607-5002

Practice Phone: 312-355-2405
Practice Fax: 312-413-3727

1407012784 — UNIVERSITY OF IL OF CHICAGO
Practice Location Address:

722 W MAXWELL ST STE 235
CHICAGO, IL
60607-5002

Practice Phone: 312-996-2901
Practice Fax:

1376849109 — DR. EMILY HALL MD
Practice Location Address:

722 W MAXWELL ST
CHICAGO, IL
60607-5002

Practice Phone: 312-996-2901
Practice Fax:

1104191303 — ALICIA RUSSELL MALONEY APN
Practice Location Address:

722 W MAXWELL ST
CHICAGO, IL
60607-5002

Practice Phone: 312-996-2901
Practice Fax:

1326385824 — MRS. DEBORAH FRANCINE BUMP PMHNP-BC
Practice Location Address:

722 W MAXWELL ST
CHICAGO, IL
60607-5002

Practice Phone: 866-600-2273
Practice Fax:

Directions to “ KATHERINE WOLLNER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.