Active NPI
Catherine Ann Kallal, MD
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1407801665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036058224
- Practice address
- 3048 N Wilton Ave
2ND Floor
Chicago, IL 60657-6710 - Phone
- (773) 296-5424
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036058224 | IL | Primary |
Addresses
Primary practice location
3048 N Wilton Ave
2ND Floor
Chicago, IL 60657-6710
Mailing address
701 Lee St
Suite 300
Des Plaines, IL 60016-4539
Phone (847) 390-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate North Side Health Network | Past | Accepting new patients | |
| Advocate North Side Health Network | Past | Accepting new patients | |
| Holy Cross Hospital | Internal Medicine | Past | Accepting new patients |
| Advocate Health and Hospitals Corporation | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Institutional Pharmacy
- Chicago, IL
- NPI 1114645470
-
- Clinic/Center
- Chicago, IL
- NPI 1780788323
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1952373557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1407801665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 LEE ST",
"address_2": "SUITE 300",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164539",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3048 N WILTON AVE",
"address_2": "2ND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576710",
"telephone_number": "773-296-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLAL",
"first_name": "CATHERINE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036058224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.