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NPI Code Detail

MEDICARE: MS. KATHERINE GNADE

MEDICARE:  MS. KATHERINE  GNADE
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1881491363
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHERINE GNADE
Provider Business Mailing Address
First Line : 1754 W 21ST PL APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60608-4781
Country : US
Telephone Number : 314-403-6379
Fax Number :
Provider Business Practice Location Address
First Line : 1754 W 21ST PL APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60608-4781
Country : US
Telephone Number : 314-403-6379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2025
Last Update Date : 03/03/2025

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Directions to “ MS. KATHERINE GNADE ” Practice Location

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