Provider Demographics
NPI:1508172875
Name:HAMILTON, KATIE (WHNP)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:KAMINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:900 N KINGSBURY ST
Mailing Address - Street 2:SUITE 130 N
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-7432
Mailing Address - Country:US
Mailing Address - Phone:312-775-1100
Mailing Address - Fax:312-775-1111
Practice Address - Street 1:900 N KINGSBURY ST
Practice Address - Street 2:SUITE 130 N
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-7432
Practice Address - Country:US
Practice Address - Phone:312-775-1100
Practice Address - Fax:312-775-1111
Is Sole Proprietor?:No
Enumeration Date:2010-08-25
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.008293363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health