Susan Katello, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

277.000694 Issued in IL

Practice address

12251 S. 80TH Ave
Palos Heights, IL 60463-0930

Phone

(708) 923-8025

Fax

(708) 923-8038

NPI assigned

Sep 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1073863148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE",
            "address_2": "SUITE 1630",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631256",
            "telephone_number": "708-923-5173",
            "fax_number": "708-923-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 S. 80TH AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604630930",
            "telephone_number": "708-923-8025",
            "fax_number": "708-923-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATELLO",
        "first_name": "SUSAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "277.000694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgios Karanastasis
• Puja Karanth, M.D.
• Karen L. Opferman, D.D.S., P.C.
• Brian Marc Karshen, D.D.S.
• Magdalena Karwaczka
• Katherine M Narbone OD & Joanna M Luty OD PC
• Nickolas Katsoulakis, M.D.
• Patrick Thomas Kaulen Jr., PSYD
• Aaron M Kearney, M.D.
• Kenneth A. Kehl, D.D.S.

• Adult Health Nurse Practitioner in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.