Healthcare Provider Details

I. General information

NPI: 1548185242
Provider Name (Legal Business Name): WENDEL M CATANGAY FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4340 N OLCOTT AVE
NORRIDGE IL
60706-1137
US

IV. Provider business mailing address

4340 N OLCOTT AVE
NORRIDGE IL
60706-1137
US

V. Phone/Fax

Practice location:
  • Phone: 773-290-4398
  • Fax:
Mailing address:
  • Phone: 773-290-4398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.036343
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: