Provider Demographics
NPI:1518340603
Name:BIEBER, KATIE (DO)
Entity Type:Individual
Prefix:DR
First Name:KATIE
Middle Name:
Last Name:BIEBER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36561 HARPER AVE
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48035-2012
Mailing Address - Country:US
Mailing Address - Phone:586-792-5740
Mailing Address - Fax:586-792-5741
Practice Address - Street 1:5851 W 95TH ST STE 400
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2415
Practice Address - Country:US
Practice Address - Phone:708-857-7230
Practice Address - Fax:708-581-7920
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101025047207V00000X
IL036.154374207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology