Healthcare Provider Details

I. General information

NPI: 1134898729
Provider Name (Legal Business Name): KATHERINE MARY SUHLING CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2021
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7447 W TALCOTT AVE STE 454
CHICAGO IL
60631-3715
US

IV. Provider business mailing address

7447 W TALCOTT AVE STE 454
CHICAGO IL
60631-3715
US

V. Phone/Fax

Practice location:
  • Phone: 773-775-2180
  • Fax: 773-775-8996
Mailing address:
  • Phone: 773-775-2180
  • Fax: 773-775-8996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number209.023970
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: