Sally Katsaggelos, M.ED. CERT. AVT

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

5857 S. Maryland Ave.
MC 9020
Chicago, IL 60637-1470

Phone

(773) 702-8182

Fax

(773) 834-0154

NPI assigned

Apr 16, 2008

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1306010889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W CORNELIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572400",
            "telephone_number": "773-702-8182",
            "fax_number": "773-834-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5857 S. MARYLAND AVE.",
            "address_2": "MC 9020",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371470",
            "telephone_number": "773-702-8182",
            "fax_number": "773-834-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSAGGELOS",
        "first_name": "SALLY",
        "name_prefix": "Ms.",
        "credential": "M.ED. CERT. AVT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahithi Katragadda
• Sree Harsha Katragadda, M.D
• Katrina Baeverstad DDS LLC
• Chris T Katris, DDS DENTIST
• Evetta Michelle Kats, DO
• Janet Marie Katschke-Hansen, LCPC
• Jessica Katsevman, OD
• Nicole Katsevman, OD
• Kathleen Katsikeas, LCSW
• Alexandria Katsiris, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.