Healthcare Provider Details

I. General information

NPI: 1407760671
Provider Name (Legal Business Name): KATHRYN PARRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

3729 N RAVENSWOOD AVE STE 117
CHICAGO IL
60613-3570
US

IV. Provider business mailing address

177 CRIPPLE CREEK CT
SCHAUMBURG IL
60194-4969
US

V. Phone/Fax

Practice location:
  • Phone: 773-274-0700
  • Fax:
Mailing address:
  • Phone: 847-544-8959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.117232
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: