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NPI Code Detail

MEDICARE: DR. KIM A. CATHERALL PH.D.

MEDICARE:  DR. KIM A. CATHERALL  PH.D.
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
1103TC0700XClinical PsychologistIL

General Provider Information

NPI Number : 1275684615
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIM A. CATHERALL PH.D.
Provider Business Mailing Address
First Line : 155 N MICHIGAN AVE
Second Line : STE 507
City : CHICAGO
State : IL
Zip : 60601-7511
Country : US
Telephone Number : 312-616-8658
Fax Number :
Provider Business Practice Location Address
First Line : 155 N MICHIGAN AVE
Second Line : STE 507
City : CHICAGO
State : IL
Zip : 60601-7511
Country : US
Telephone Number : 312-616-8658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2007
Last Update Date : 07/09/2007

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Directions to “ DR. KIM A. CATHERALL PH.D.” Practice Location

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