Individual provider Active NPI

Katie Catherine Coyle, NP

  • Adult Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1790508174
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
041.475841 Issued in IL
Practice address
1645 W School St
Chicago, IL 60657-2157
Phone
(773) 207-4155
NPI assigned
Nov 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 041.475841 IL Primary

Addresses

Primary practice location

1645 W School St
Chicago, IL 60657-2157

Mailing address

1924 N Honore St Apt 3F
Chicago, IL 60622-1045
Phone (210) 872-3626

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911003075 IL Practitioner - Nurse Practitioner 5890298277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1924 N Honore St Apt
3F
Chicago, IL 60622-1045

3845 McCoy Dr
Suite 101
Aurora, IL 60504-4428

7262 Solutions Ctr
Chicago, IL 60677-7002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041.475841ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Immediate Care LLC Multi-Specialty CurrentSince Aug 19, 2025 Accepting new patients
Head & Neck Cosmetic Surgery Associates LLC Multi-Specialty Past Accepting new patients

Locations

1601 W Division St
Chicago, IL 60622
Phone (773) 227-3669

1645 W School St
Ste A
Chicago, IL 60657
Phone (773) 227-3669

7262 Solutions Ctr
Chicago, IL 60677

Organizations & group practices 2

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": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1790508174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 N HONORE ST APT 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221045",
            "telephone_number": "210-872-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W SCHOOL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572157",
            "telephone_number": "773-207-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "KATIE",
        "middle_name": "CATHERINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "041.475841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.