Caroline Antler, PHD, MS

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

071011363 Issued in IL

Practice address

4000 W Montrose Ave # 568
Chicago, IL 60641-2140

Phone

(312) 899-6004

NPI assigned

Jan 24, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 23, 2024 through Dec 23, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

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.

• Antler Clinic PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1063222370
  NPD Authorized official

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1295487908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W MONTROSE AVE # 568",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412140",
            "telephone_number": "312-899-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W MONTROSE AVE # 568",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412140",
            "telephone_number": "312-899-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTLER",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "PHD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "IL",
            "license": "071011363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Elizabeth Antisdel, PH.D.
• Kaci Lillian Antkiewicz
• Stacy Antkowiak
• Kirsten Antle
• Antler Clinic PLLC
• Allison Antman
• Antoinette M Dezzutti LCSW PC
• Antoinette M Pettitt DDS LTD
• Michelle Lynnea Antolak, PHARMD
• Anton DDS

• Rehabilitation Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Rehabilitation Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.