Healthcare Provider Details

I. General information

NPI: 1598177008
Provider Name (Legal Business Name): KATIE L BUEL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE L ROCKWELL

II. Dates (important events)

Enumeration Date: 06/02/2014
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 OGDEN AVE STE 330
AURORA IL
60504-5897
US

IV. Provider business mailing address

2000 OGDEN AVE STE P050
AURORA IL
60504-7222
US

V. Phone/Fax

Practice location:
  • Phone: 630-978-4850
  • Fax: 630-978-6865
Mailing address:
  • Phone: 630-499-2404
  • Fax: 630-499-4750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036181442
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: