MEDICARE: KATHERINE INFUSINO

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	101YM0800X	Mental Health Counselor	180.012520	IL

General Provider Information

NPI Number	:	1326402454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE INFUSINO

Provider Business Mailing Address
First Line	:	2146 W ADDISON ST UNIT 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-6173
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3139 N LINCOLN AVE STE 228
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3173
Country	:	US
Telephone Number	:	312-259-2665
Fax Number	:

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

Provider Enumeration Date	:	04/05/2016
Last Update Date	:	01/27/2026

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Directions to “ KATHERINE INFUSINO ” Practice Location

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