Healthcare Provider Details

I. General information

NPI: 1275532277
Provider Name (Legal Business Name): KATRINA S DUQUE-KAPPE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATRINA S. DUQUE M.D.

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 W TAYLOR ST # 3200W
CHICAGO IL
60612-7232
US

IV. Provider business mailing address

1740 W TAYLOR ST # 3200W
CHICAGO IL
60612-7232
US

V. Phone/Fax

Practice location:
  • Phone: 312-996-4020
  • Fax: 312-996-4019
Mailing address:
  • Phone: 312-996-4020
  • Fax: 312-996-4019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number036-099714
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number036099714
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: