Kathleen Deans, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085-002590 Issued in IL

Practice address

17 Sorrento Dr
Palos Heights, IL 60463-1752

Phone

(708) 218-4449

NPI assigned

Jul 22, 2006

Last updated

Jul 1, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Emergency Room Care Providers, S.C.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1417990219
  NPD (past)
• United Medical Group, SC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1427244029
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1811918006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SORRENTO DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631752",
            "telephone_number": "708-218-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SORRENTO DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631752",
            "telephone_number": "708-218-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANS",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-002590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winston Dang, MD
• George J Dangles, M.D.
• Darius Bliznikas MD SC
• Ankur B Dave, D.O
• Baiba Davydenkovas, LSW
• Deep Buch, MD SC
• Suzanne Teresa Deese, APRN
• Kristina Quinn Degesys, M.D.
• Anthony Philip Delapena, M.D.
• Lela Demeter, MD

• Medical Physician Assistant in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.