Individual provider Active NPI

Constance Anne Catellani, M.D.

  • Internal Medicine Physician
  • Skokie, IL
National Provider Identifier
1043351745
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036057626 Issued in IL
Practice address
7830 Kilbourn Ave
South Entrance
Skokie, IL 60076-3512
Phone
(847) 673-5300
Fax
(847) 673-7063
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036057626 IL Primary

Addresses

Primary practice location

7830 Kilbourn Ave
South Entrance
Skokie, IL 60076-3512

Mailing address

7830 Kilbourn Ave
Skokie, IL 60076-3512
Phone (847) 673-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040730000677 IL Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Emergency Medicine 1850361338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine, Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1977
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Davenport Medical IncGroup PAC ID 0244613628, 2 clinicians

Practice addresses (Care Compare)

1023 Mapleton Ave
Oak Park, IL 60302-1405
Phone (773) 543-8964

7830 Kilbourn Ave
Skokie, IL 60076-3512
Phone (847) 673-5300

Hospital & facility affiliations

  • Chicago Health, Inc Home health agency, Park Ridge, IL, CCN 147881
  • Safe Life Home Health Care, LLC Home health agency, Lombard, IL, CCN 148319
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036057626ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Onsite Health Therapies, LLC CurrentSince May 1, 2021 Accepting new patients
C a Catellani M D S C Internal Medicine CurrentSince Dec 6, 2010 Accepting new patients
Davenport Medical Inc Internal Medicine CurrentSince Aug 8, 2024 Accepting new patients
Gemini Health and Wellness LLC Internal Medicine PastSince Oct 14, 2024 Accepting new patients
Midwest Palliative & Hospice Carecenter Past Accepting new patients

Locations

7301 N Lincoln Ave
Ste 180
Lincolnwood, IL 60712
Phone (224) 766-7669

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043351745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 KILBOURN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763512",
            "telephone_number": "847-673-5300",
            "fax_number": "847-673-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 KILBOURN AVE",
            "address_2": "SOUTH ENTRANCE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763512",
            "telephone_number": "847-673-5300",
            "fax_number": "847-673-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATELLANI",
        "first_name": "CONSTANCE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036057626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.