Individual provider Active NPI

Katherine M Williams, MD

  • Obstetrics & Gynecology Physician
  • Skokie, IL
National Provider Identifier
1396242053
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036.162289 Issued in IL
Practice address
4905 Old Orchard Ctr Ste 200
Skokie, IL 60077-1462
Phone
(847) 499-2648
NPI assigned
Apr 10, 2018
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036.162289 IL Primary

Addresses

Primary practice location

4905 Old Orchard Ctr Ste 200
Skokie, IL 60077-1462

Mailing address

2801 Lakeside Dr Ste 209
Bannockburn, IL 60015-1200
Phone (847) 562-1410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221021001594 IL Practitioner - Obstetrics/Gynecology 1052668365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oakland Univ, William Beaumont School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Center for Women's Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians

Practice addresses (Care Compare)

4905 Old Orchard Ctr
Suite 200
Skokie, IL 60077-1462
Phone (847) 673-3130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.162289ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Women's Health Care, LTD. Obstetrics & Gynecology CurrentSince Sep 7, 2022 Accepting new patients

Locations

2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410

135 N Arlington Heights Rd
Ste 101
Buffalo Grove, IL 60089
Phone (847) 537-5200

1000 Central St
Ste 700
Evanston, IL 60201
Phone (708) 708-3300

350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108

4709 Golf Rd
Ste 325
Skokie, IL 60076

250 Center Dr
Ste 101
Vernon Hills, IL 60061
Phone (847) 918-7050

Interoperability endpoints

  • Direct secure messaging: katherine.williams.1@21117.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1396242053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LAKESIDE DR STE 209",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151200",
            "telephone_number": "847-562-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR STE 200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771462",
            "telephone_number": "847-499-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.162289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.