Healthcare Provider Details

I. General information

NPI: 1013821461
Provider Name (Legal Business Name): CATHERINE KITZMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 SHERMAN AVE
EVANSTON IL
60201-4407
US

IV. Provider business mailing address

332 RIDGE RD
WILMETTE IL
60091-3218
US

V. Phone/Fax

Practice location:
  • Phone: 847-440-6459
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: