{
"Npi": {
"NPI": "1215279393",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RIFF",
"FirstName": "KATHERINE",
"MiddleName": "M",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HAMMEL",
"OtherFirstName": "KATHERINE",
"OtherMiddleName": "M",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2850 W 95TH STREET",
"SecondLineMailingAddress": "SUITE 400",
"MailingAddressCityName": "EVERGREEN PARK",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60805",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-424-7600",
"MailingAddressFaxNumber": "708-424-7605",
"FirstLinePracticeLocationAddress": "2850 W 95TH STREET",
"SecondLinePracticeLocationAddress": "SUITE 400",
"PracticeLocationAddressCityName": "EVERGREEN PARK",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60805",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-424-7600",
"PracticeLocationAddressFaxNumber": "708-424-7605",
"EnumerationDate": "03/26/2013",
"LastUpdateDate": "12/31/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "036141102",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}