Colleen Patricia Doherty, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036127488 Issued in IL

Practice address

211 E Chicago Ave
Suite 1050
Chicago, IL 60611-2637

Phone

(312) 944-6677

Fax

(312) 944-3346

NPI assigned

Jul 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1093978512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E CHICAGO AVE",
            "address_2": "SUITE 1050",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112637",
            "telephone_number": "312-944-6677",
            "fax_number": "312-944-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E CHICAGO AVE",
            "address_2": "SUITE 1050",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112637",
            "telephone_number": "312-944-6677",
            "fax_number": "312-944-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "COLLEEN",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125054401",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036127488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Mary Doheny, PSY.D.
• Mary Elizabeth Doheny, PH.D.
• Jean Marie Doherty-Greenberg, D.M.D.
• Alexander Doherty
• Bianca Alexandria Doherty, PA-C
• Daniel Leo Doherty Jr., PA
• Julia Ann Doherty, OTR
• Kathleen O'Neal Doherty, PT, DPT
• Kiley Doherty
• Mary Debra Doherty, D.T.

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.