MEDICARE: KATHERINE UPHOFF, PH.D. S.C.

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	174400000X	Specialist	071-004332	IL

General Provider Information

NPI Number	:	1730327263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATHERINE UPHOFF, PH.D. S.C.

Provider Business Mailing Address
First Line	:	122 S MICHIGAN AVE STE 1413
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60603-6258
Country	:	US
Telephone Number	:	312-553-0793
Fax Number	:	312-553-4213

Provider Business Practice Location Address
First Line	:	35 E WACKER DR
Second Line	:	STE, 1350
City	:	CHICAGO
State	:	IL
Zip	:	60601-2314
Country	:	US
Telephone Number	:	312-553-0793
Fax Number	:	312-553-4213

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KATHERINE ANNE UPHOFF
Credential	:	PH.D.
Telephone Number	:	312-553-0793

Provider Enumeration Date	:	01/21/2009
Last Update Date	:	04/13/2026

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