DR. KATHLEEN CASPER D.O. NPI 1912004912

NPI Information

NPI: 1912004912
Provider Name: DR. KATHLEEN CASPER, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
3235 W 111TH ST
CHICAGO, IL
ZIP 60655
Phone: (773) 445-2802
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DR. Kathleen Casper, D.O. is a family medicine in Chicago, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kathleen Casper, D.O. NPI is 1912004912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3235 W 111TH ST
CHICAGO, IL
ZIP 60655-730
Phone: (773) 445-2802
Fax: (773) 445-9983

The enumeration date for this NPI number is 9/20/2006 and was last updated on 12/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		036066773	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K49500	MEDICARE PIN	ILLINOIS
2	036066773	MEDICAID	ILLINOIS
3	712650	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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