Provider Demographics
NPI:1609990894
Name:KATERJI PEDIATRIC NEUROLOGY & ASSOC
Entity Type:Organization
Organization Name:KATERJI PEDIATRIC NEUROLOGY & ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:M. AMMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KATERJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-645-9900
Mailing Address - Street 1:900 JORIE BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-3846
Mailing Address - Country:US
Mailing Address - Phone:630-645-9900
Mailing Address - Fax:630-645-9910
Practice Address - Street 1:900 JORIE BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-3846
Practice Address - Country:US
Practice Address - Phone:630-645-9900
Practice Address - Fax:630-645-9910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2080P0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental DisabilitiesGroup - Single Specialty