Provider Demographics
NPI:1538681572
Name:CATOTAL, FERDINAND (FNP)
Entity Type:Individual
Prefix:MR
First Name:FERDINAND
Middle Name:
Last Name:CATOTAL
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 SEQUOIA CT
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-4506
Mailing Address - Country:US
Mailing Address - Phone:630-823-7338
Mailing Address - Fax:
Practice Address - Street 1:1554 TODD FARM DR
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-1287
Practice Address - Country:US
Practice Address - Phone:847-888-7423
Practice Address - Fax:224-856-2654
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-12
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277001306363LP2300X
IL209016141363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty