Active NPI
Cathie Dunal, MD MPH
- Family Medicine Physician
- Northbrook, IL
National Provider Identifier
1639219934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036072089
- Practice address
- 60 Revere Dr
Suite 505
Northbrook, IL 60062-1563 - Phone
- (847) 205-2055
- NPI assigned
- Feb 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35559-20 | WI | |
| Family Medicine Physician | 207Q00000X | 036072089 | IL | Primary |
Addresses
Primary practice location
60 Revere Dr
Suite 505
Northbrook, IL 60062-1563
Mailing address
60 Revere Dr
Suite 505
Northbrook, IL 60062-1563
Phone (847) 205-2055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2012 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036072089 | IL | MD | Family Medicine Physician |
| 35559-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cathie Dunal MD MPH SC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- cathie.dunal@634219585273860.direct.elationemr.com
- dunal-cathie@fcde14cd.micromddirect.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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611446400000",
"number": "1639219934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 REVERE DR",
"address_2": "SUITE 505",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621563",
"telephone_number": "847-205-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 REVERE DR",
"address_2": "SUITE 505",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621563",
"telephone_number": "847-205-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNAL",
"first_name": "CATHIE",
"name_prefix": "Dr.",
"credential": "MD MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2021-01-24",
"certification_date": "2021-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "35559-20",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036072089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.