Individual provider Active NPI

Kathryn Michelle Lee Noll, D.O.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1982991774
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036135601 Issued in IL
Practice address
1725 W Harrison St Ste 837
Chicago, IL 60612-3866
Phone
(312) 563-2875
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036135601 IL Primary

Addresses

Primary practice location

1725 W Harrison St Ste 837
Chicago, IL 60612-3866

Mailing address

1725 W Harrison St Ste 837
Chicago, IL 60612-3866
Phone (312) 563-2875

Other practice location 1

3860 W Ogden Ave
Chicago, IL 60623-2460
Phone (872) 588-3000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150216000546 IL Practitioner - Internal Medicine 2860717857 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawndale Christian Health CenterGroup PAC ID 2264336346, 124 clinicians

Practice addresses (Care Compare)

3860 W Ogden Ave
Chicago, IL 60623-2460
Phone (872) 588-3000

Hospital & facility affiliations

  • Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Family Health Center Inc CurrentSince Aug 3, 2021 Accepting new patients
Lawndale Christian Health Center CurrentSince Feb 7, 2023 Accepting new patients
Cook County CurrentSince Jul 22, 2014 Accepting new patients
Erie Family Health Center, Inc Current Accepting new patients
Cook County Internal Medicine CurrentSince Jul 22, 2014 Accepting new patients
Lawndale Christian Health Center Current Accepting new patients
Cook County Current Accepting new patients
Lawndale Christian Health Center CurrentSince Feb 7, 2023 Accepting new patients
Erie Family Health Center Inc CurrentSince Aug 3, 2021 Accepting new patients

Locations

3860 W Ogden Ave
Chicago, IL 60623
Phone (872) 588-3000

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1701 W Superior St
Chicago, IL 60622
Phone (312) 432-7392

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

1900 W Polk St
Ste 1200
Chicago, IL 60612

4696 Paysphere Cir
Chicago, IL 60674

1504 S Albany Ave
Chicago, IL 60623

Interoperability endpoints

  • Direct secure messaging: kleenoll690894@direct.ochin.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1982991774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 837",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123866",
            "telephone_number": "312-563-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 837",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123866",
            "telephone_number": "312-563-2875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3860 W Ogden Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606232460",
            "country_code": "US",
            "telephone_number": "872-588-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE NOLL",
        "first_name": "KATHRYN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036135601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.