Provider Demographics
NPI:1356171458
Name:BIALESCHKI, CATELYN
Entity type:Individual
Prefix:
First Name:CATELYN
Middle Name:
Last Name:BIALESCHKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 W VAN BUREN ST APT 805
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-3596
Mailing Address - Country:US
Mailing Address - Phone:217-898-4966
Mailing Address - Fax:
Practice Address - Street 1:233 E ERIE ST STE 307
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5937
Practice Address - Country:US
Practice Address - Phone:312-664-0305
Practice Address - Fax:312-664-3007
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.030191363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health