Individual provider Active NPI

Katherine Wollner, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1386080943
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.149272 Issued in IL
Practice address
722 W Maxwell St # 397
Chicago, IL 60607-5002
Phone
(312) 996-2901
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 036.149272 IL
Family Medicine Physician 207Q00000X 036.149272 IL Primary

Addresses

Primary practice location

722 W Maxwell St # 397
Chicago, IL 60607-5002

Mailing address

1919 W Taylor St # 145
Chicago, IL 60612-7246

Other practice location 1

1713 S Ashland Ave
Chicago, IL 60608-2014
Phone (312) 996-2901

Other practice location 2

3828 W Taylor St # 60624
Chicago, IL 60624-4027
Phone (877) 381-6538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190606001112 IL Practitioner - Family Practice 1557593183 Reassigns benefits to 2 organizations
I20250804003366 IL Practitioner - Addiction Medicine 1557593183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Rush Medical College of Rush University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Board of Trustees of the University of IllinoisGroup PAC ID 3072422716, shared by 24 NPIs, 1,134 clinicians

Practice addresses (Care Compare)

1220 S Wood St
Chicago, IL 60608-1202
Phone (312) 413-3282

1740 W Taylor St
Chicago, IL 60612-7232

1919 W Taylor St
Mc663
Chicago, IL 60612-7246
Phone (312) 996-0750

722 W Maxwell St
Chicago, IL 60607-5002

Hospital & facility affiliations

  • University of Illinois Hospital and Clinics Hospital, Chicago, IL, CCN 140150

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.149272ILMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Jun 19, 2020 Accepting new patients
The Board of Trustees of the University of Illinois Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jun 19, 2020 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Feb 4, 2025 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients

Locations

1919 W Taylor St
#663
Chicago, IL 60612
Phone (312) 996-0750

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1713 S Ashland Ave
Chicago, IL 60608
Phone (312) 421-5382

1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261

1919 W Taylor St
#145
Chicago, IL 60612

7702 Solution Ctr
Chicago, IL 60677

845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295

55 W Cermak Rd
Chicago, IL 60616
Phone (312) 326-4472

722 W Maxwell St
#397
Chicago, IL 60607
Phone (312) 421-5205

722 W Maxwell St
#235
Chicago, IL 60607
Phone (312) 433-4114

Interoperability endpoints

  • Direct secure messaging: kwollner17588@uihealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1386080943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 W TAYLOR ST # 145",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 W MAXWELL ST # 397",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075002",
            "telephone_number": "312-996-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1713 S Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606082014",
            "country_code": "US",
            "telephone_number": "312-996-2901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3828 W Taylor St # 60624",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606244027",
            "country_code": "US",
            "telephone_number": "877-381-6538",
            "fax_number": "877-381-6538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLLNER",
        "first_name": "KATHERINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IL",
            "license": "036.149272",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.149272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.