Healthcare Provider Details

I. General information

NPI: 1689091803
Provider Name (Legal Business Name): CAITLIN LEE MCGRATH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 09/02/2025
Certification Date: 01/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHILDRENS PL DIV PED INFECTIOUS DISEASE
SAINT LOUIS MO
63110-1002
US

IV. Provider business mailing address

PO BOX 7412011
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 314-454-6050
  • Fax: 855-887-7850
Mailing address:
  • Phone: 314-454-6050
  • Fax: 855-887-7850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number2025029664
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: