MEDICARE: AMY I CATANIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1154650067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY I CATANIA

Provider Business Mailing Address
First Line	:	1708 N FRANCISCO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-5118
Country	:	US
Telephone Number	:	773-255-4542
Fax Number	:

Provider Business Practice Location Address
First Line	:	1708 N FRANCISCO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-5118
Country	:	US
Telephone Number	:	773-255-4542
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2009
Last Update Date	:	12/24/2009

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Directions to “ AMY I CATANIA ” Practice Location

Language	Start Address	Practice Location

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