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NPI Code Detail

MEDICARE: CATHERINE ANNE PAHATI

MEDICARE:   CATHERINE ANNE PAHATI
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1679798664
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE ANNE PAHATI
Provider Business Mailing Address
First Line : 7650 W MYRTLE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60631-1834
Country : US
Telephone Number : 312-718-7711
Fax Number :
Provider Business Practice Location Address
First Line : 7650 W MYRTLE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60631-1834
Country : US
Telephone Number : 312-718-7711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 04/26/2016

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Directions to “ CATHERINE ANNE PAHATI ” Practice Location

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