Active NPI
Catherine Hickey, PA-C
- Physician Assistant
- Chicago, IL
National Provider Identifier
1861964256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085007313
- Practice address
- 421 E Benton PL
Chicago, IL 60601-7288 - Phone
- (708) 261-6806
- NPI assigned
- Dec 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085007313 | IL | Primary |
Addresses
Primary practice location
421 E Benton PL
Chicago, IL 60601-7288
Mailing address
421 E Benton PL
Chicago, IL 60601-7288
Phone (708) 261-6806
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085007313 | IL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1861964256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 E BENTON PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017288",
"telephone_number": "708-261-6806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 E BENTON PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017288",
"telephone_number": "708-261-6806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "CATHERINE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-22",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085007313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.