Healthcare Provider Details

I. General information

NPI: 1093194607
Provider Name (Legal Business Name): AMY CATHERINE KARNEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMY CATHERINE LAIB MD

II. Dates (important events)

Enumeration Date: 05/28/2015
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 RED HAWK PATH
GILBERTS IL
60136-9799
US

IV. Provider business mailing address

168 RED HAWK PATH
GILBERTS IL
60136-9799
US

V. Phone/Fax

Practice location:
  • Phone: 815-289-3701
  • Fax:
Mailing address:
  • Phone: 815-289-3701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number036.162778
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: