Katherine Anne Udovicic, DT

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

2415 W Winnemac Ave
Chicago, IL 60625-2613

Phone

(773) 306-3627

NPI assigned

Apr 6, 2010

Last updated

Apr 6, 2010By the provider in NPPES

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

Other names 1

• Katherine Anne O'Rourke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1295050995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 W WINNEMAC AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252613",
            "telephone_number": "773-306-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 W WINNEMAC AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252613",
            "telephone_number": "773-306-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDOVICIC",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "DT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "O'ROURKE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stella Udoetuk, MD, MPH
• Inyene Magdalene Udoh, LSW
• Mary Udoh
• Evaristus Udoisa, MD
• Kingsley Saturday Udom, MD
• Siddharth Prabhakar Udupa
• Carly Melissa Uebel, LCSW
• Jonathan Uebelhor
• Jamie L Uejima, M.D.
• Masayoshi Uemura, MD

• Developmental Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.