Charles Kitchen, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Practice address

1187 Wilmette Ave
#340
Wilmette, IL 60091-2719

Phone

(312) 236-0990

Fax

(847) 251-5147

NPI assigned

Jul 21, 2005

Last updated

Dec 31, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1841299732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 WILMETTE AVE",
            "address_2": "#340",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912719",
            "telephone_number": "312-236-0990",
            "fax_number": "847-251-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 WILMETTE AVE",
            "address_2": "#340",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912719",
            "telephone_number": "312-236-0990",
            "fax_number": "847-251-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21605259",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoriya Kharon, PHARMD
• Nicola Kiela, LCSW
• Anna Kielar, PHARMD
• Ai Mary Hoshino Kim, M.A.
• Jennifer Kim, PHARM.D
• Howard J Klapman, MD
• Adina Sue Kleiman, PH. D
• Emily Kline, OTR/L
• Gaye Desiree Koconis, CNM
• James W Kohl, DDS

• Psychiatry Physician in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.