Active NPI
Katherine Lee Pardun, LSW
- Social Worker
- Buffalo Grove, IL
National Provider Identifier
1962136945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.108210
- Practice address
- 275 W Dundee Rd
Buffalo Grove, IL 60089-3704 - Phone
- (847) 777-8995
- Fax
- (847) 947-2890
- NPI assigned
- Jul 14, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.108210 | IL | Primary |
Addresses
Primary practice location
275 W Dundee Rd
Buffalo Grove, IL 60089-3704
Mailing address
104 Prospect CT
Prospect Heights, IL 60070-1433
Phone (224) 636-3441
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.108210 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1962136945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 PROSPECT CT",
"city": "PROSPECT HEIGHTS",
"state": "IL",
"postal_code": "600701433",
"telephone_number": "224-636-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W DUNDEE RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600893704",
"telephone_number": "847-777-8995",
"fax_number": "847-947-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARDUN",
"first_name": "KATHERINE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-14",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.108210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.