Organization Active NPI

Kristina Katzovitz, M.D., S.C.

  • Internal Medicine Physician
  • Elmhurst, IL
National Provider Identifier
1174726905
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KRISTINA KATZOVITZ, M.D., S.C.
Practice address
455 North York Road
Elmhurst, IL 60126-2003
Phone
(630) 834-0400
Fax
(630) 834-0619
NPI assigned
Jun 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kristina Katzovitz
Title
Internal Medicine Physician
Phone
(630) 834-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

455 North York Road
Elmhurst, IL 60126-2003

Mailing address

455 North York Road
Elmhurst, IL 60126-2003
Phone (630) 834-0400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174726905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 NORTH YORK ROAD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262003",
            "telephone_number": "630-834-0400",
            "fax_number": "630-834-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 NORTH YORK ROAD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262003",
            "telephone_number": "630-834-0400",
            "fax_number": "630-834-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA KATZOVITZ, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KATZOVITZ",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "INTERNAL MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "630-834-0400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.