Healthcare Provider Details

I. General information

NPI: 1073448668
Provider Name (Legal Business Name): KATHRYN GARITY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E DELAWARE PL STE 501
CHICAGO IL
60611-1666
US

IV. Provider business mailing address

228 W HILL ST APT 2202
CHICAGO IL
60610-3634
US

V. Phone/Fax

Practice location:
  • Phone: 312-549-8691
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.035509
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: