Healthcare Provider Details

I. General information

NPI: 1487293106
Provider Name (Legal Business Name): KAITLYNN HOCHLEUTNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2019
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3927 W BELMONT AVE STE 109
CHICAGO IL
60618-5170
US

IV. Provider business mailing address

2441 N RIDGEWAY AVE APT CH2
CHICAGO IL
60647-5986
US

V. Phone/Fax

Practice location:
  • Phone: 312-971-3472
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: