Kathleen Casper, D.O., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036066773 Issued in IL

Legal business name

KATHLEEN CASPER, D.O., P.C.

Practice address

3235 W 111TH St
Chicago, IL 60655-2730

Phone

(773) 445-2802

Fax

(773) 445-9983

NPI assigned

Jan 2, 2008

Last updated

Dec 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Casper, D.O.NPI 1912004912

Title

Owner

Phone

(773) 445-2802

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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.

• Kathleen Casper, D.O.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1912004912
  Authorized official Same address or phone

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1205011822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 W 143RD ST",
            "address_2": "SUITE B",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621982",
            "telephone_number": "708-349-0055",
            "fax_number": "708-460-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552730",
            "telephone_number": "773-445-2802",
            "fax_number": "773-445-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN CASPER, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "CASPER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-445-2802",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036066773",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036066773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "CB1617",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0031600471",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katharine Kharas PSYD, Inc.
• Katherine D Johnson, LCSW, PLLC
• Katherine Nimrod Counseling LLC
• Katherine Rack Wellness PLLC
• Katherine Uphoff, PH.D. S.C.
• Kathleen H Maloul MD PC
• Kathleen Lee (Calumet Hearing Service)
• Kathleen M Scarpulla, MD, SC
• Kathleen McCabe, LCPC, PLLC
• Kathleen Pendergast LLC (Kathleen Pendergast Therapy)

• 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 Dec 3, 2008; 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.