Healthcare Provider Details

I. General information

NPI: 1407288442
Provider Name (Legal Business Name): KATHERINE MALONE WEHRMANN APN-CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE ELIZABETH MALONE

II. Dates (important events)

Enumeration Date: 08/01/2013
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S YORK ST STE 4280
ELMHURST IL
60126-5632
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 331-221-9004
  • Fax: 312-221-2748
Mailing address:
  • Phone: 847-982-3175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number209010558
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209010558
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: