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NPI Code Detail

MEDICARE: KATHRYN PICCATTO MD

MEDICARE: KATHRYN PICCATTO MD
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
12085R0202XDiagnostic Radiology Physician036.173706IL

General Provider Information

NPI Number : 1497383434
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN PICCATTO MD
Provider Business Mailing Address
First Line : 251 E HURON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2908
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1653 W CONGRESS PKWY
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3833
Country : US
Telephone Number : 312-942-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2020
Last Update Date : 06/01/2026

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