Healthcare Provider Details

I. General information

NPI: 1306668629
Provider Name (Legal Business Name): KATARINA REIDY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 S ARLINGTON HEIGHTS RD STE 116
ARLINGTON HEIGHTS IL
60005-4142
US

IV. Provider business mailing address

2101 S ARLINGTON HEIGHTS RD STE 116
ARLINGTON HEIGHTS IL
60005-4142
US

V. Phone/Fax

Practice location:
  • Phone: 847-666-5339
  • Fax: 847-637-5479
Mailing address:
  • Phone: 847-666-5339
  • Fax: 847-637-5479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number085010884
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: