Individual provider Active NPI

Katherine B Kabaker, M.D.

  • Medical Oncology Physician
  • Chicago, IL
National Provider Identifier
1699951137
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
036-121284 Issued in IL
Practice address
1753 W Congress Pkwy
Jones BLDG Suite 301
Chicago, IL 60612-3838
Phone
(312) 942-6600
NPI assigned
Jan 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125-049832 IL
Medical Oncology Physician 207RX0202X 036-121284 IL Primary

Addresses

Primary practice location

1753 W Congress Pkwy
Jones BLDG Suite 301
Chicago, IL 60612-3838

Mailing address

1753 W Congress Pkwy
Jones BLDG Suite 301
Chicago, IL 60612-3838
Phone (312) 942-6600

Other names 1

  • Katherine A Bueschel Former name

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
125-049832ILMDInternal Medicine Physician
036-121284ILMDMedical Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1699951137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 W CONGRESS PKWY",
            "address_2": "JONES BLDG SUITE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123838",
            "telephone_number": "312-942-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 W CONGRESS PKWY",
            "address_2": "JONES BLDG SUITE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123838",
            "telephone_number": "312-942-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABAKER",
        "first_name": "KATHERINE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125-049832",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": "036-121284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BUESCHEL",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 17, 2011; 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.