Katherine Janezic, NP

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

209020893 Issued in IL

Practice address

7411 N Milwaukee Ave
Niles, IL 60714-3707

Phone

(773) 763-6000

Fax

(773) 763-6006

NPI assigned

Mar 2, 2020

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Rush Medical College of Rush University, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Branch Dermatology LLCGroup PAC ID 8921220914, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• North Branch Dermatology LLC

  • Dermatology Physician
  • Niles, IL
  • NPI 1154721348
  Medicare reassignment Care Compare group NPD
• Kidney and Hypertension Consultants, S.C.

  • Nephrology Physician
  • Chicago, IL
  • NPI 1255453528
  NPD (past)

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1114551983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143707",
            "telephone_number": "773-763-6000",
            "fax_number": "773-763-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143707",
            "telephone_number": "773-763-6000",
            "fax_number": "773-763-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANEZIC",
        "first_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "209020893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jibin Jacob, PHARM.D
• Mary Jacobson, O.D.
• Jalal Rais Dana MD LTD
• Jamie Y. Park, D.D.S., LTD
• Jane Kim LCSW, LLC
• Renata Maria Jankowska, NP
• Joanna Katherine Jaros, MD
• Jayron Home Care Inc.
• Jcare Home Medical Supplies,Inc
• Jilleen C. Murchie, P.C.

• Dermatology Physician in Niles, IL
• Providers in Niles, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.