Individual provider Active NPI

Michelle Catenacci, MD

  • Reproductive Endocrinology Physician
  • Gurnee, IL
National Provider Identifier
1689888224
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
036129603 Issued in IL
Practice address
30 Tower CT
Suite F
Gurnee, IL 60031-3322
Phone
(847) 662-1818
Fax
(847) 662-3001
NPI assigned
May 10, 2007
Last updated
Oct 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 036129603 IL Primary
Reproductive Endocrinology Physician 207VE0102X 35093807 OH

Addresses

Primary practice location

30 Tower CT
Suite F
Gurnee, IL 60031-3322

Mailing address

30 Tower Court
Suite F
Gurnee, IL 60031-3322
Phone (847) 662-1818

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

State licenses

LicenseStateTypeSpecialty
036129603ILMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Fertility Center of Chicago Reproductive Endocrinology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1689888224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TOWER COURT",
            "address_2": "SUITE F",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313322",
            "telephone_number": "847-662-1818",
            "fax_number": "847-662-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TOWER CT",
            "address_2": "SUITE F",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313322",
            "telephone_number": "847-662-1818",
            "fax_number": "847-662-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATENACCI",
        "first_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IL",
            "license": "036129603",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OH",
            "license": "35093807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.