=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427414754
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KATERINA REGINA HOYT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/31/2015
-----------------------------------------------------
Last Update Date | 10/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 675 N SAINT CLAIR ST STE 14-200
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60611-5966
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-695-7382
-----------------------------------------------------
Fax | 312-695-0014
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 675 N SAINT CLAIR ST STE 14-200
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60611-5966
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-695-7382
-----------------------------------------------------
Fax | 312-695-0014
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 036160981
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------