Healthcare Provider Details

I. General information

NPI: 1366987539
Provider Name (Legal Business Name): KATARZYNA OFIARA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATARZYNA GAWOR-OFIARA

II. Dates (important events)

Enumeration Date: 12/27/2016
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7447 W TALCOTT AVE STE 1
CHICAGO IL
60631-3712
US

IV. Provider business mailing address

7447 W TALCOTT AVE STE 1
CHICAGO IL
60631-3712
US

V. Phone/Fax

Practice location:
  • Phone: 773-774-0442
  • Fax: 773-774-2008
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1034712
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041448355
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1034712
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: