Provider Demographics
NPI:1336219682
Name:CATCHING, KAREN C (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:C
Last Name:CATCHING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 N RANDALL RD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-7803
Mailing Address - Country:US
Mailing Address - Phone:847-214-5100
Mailing Address - Fax:847-289-5579
Practice Address - Street 1:1600 N RANDALL RD
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-7803
Practice Address - Country:US
Practice Address - Phone:847-214-5100
Practice Address - Fax:847-289-5579
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-092814207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036092814Medicaid
IL920540OtherMEDICARE PTAN (GROUP)
IL920540020OtherMEDICARE PTAN (INDIVIDUAL)
ILP01109174OtherMEDICARE RAILROAD (INDIVIDUAL)
ILCA4748OtherMEDICARE RAILROAD (GROUP)
ILCA4748OtherMEDICARE RAILROAD (GROUP)
ILL76564Medicare ID - Type Unspecified