KATHERINE L SHEPHERD


Address: 4709 Golf Rd Ste 900, Skokie, IL 60076
Phone: 8476765394

KATHERINE L SHEPHERD (NPI# 1053306365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053306365
Entity Type Individual
Full Name KATHERINE L SHEPHERD
Credential MD
Practice Address 4709 Golf Rd Ste 900
Skokie
IL 60076
Mailing Address 4709 Golf Rd Ste 900
Skokie
IL 60076-1244
Practice Telephone 8476765394
Practice Fax Number 8476797183
Mailing Telephone 8476765394
Mailing Fax Number 8476797183
Enumeration Date 2005-09-13
Last Update Date 2018-05-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 036091880 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036091880 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4709 Golf Rd Ste 1250, Skokie, IL 600761238 8476765394 8476797183

Other Providers KATHERINE SHEPHERD

NPI Name Taxonomy Address Enumeration
1275040958 Katherine Er Shepherd Behavioral Analyst 6050 Erin Park Dr, Colorado Springs, CO 80918-3488 2018-01-04
1528327442 Katherine Luthey Shepherd Obstetrics & Gynecology 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 2012-05-11

Office Location

Street Address 4709 GOLF RD STE 900
City SKOKIE
State IL
Zip Code 60076

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407852817 Cathy Divincenzo Pediatrics 4709 Golf Rd Ste 900, Skokie, IL 60076 2005-06-22
1881183580 Delia Mihaela Groza Nurse Practitioner 4709 Golf Rd Ste 900, Skokie, IL 60076-1244 2018-05-08
1043742885 Pauline Ahn Pediatrics 4709 Golf Rd Ste 900, Skokie, IL 60076-1244 2017-03-31
1255705794 Jessica A Fanucchi Nurse Practitioner 4709 Golf Rd Ste 900, Skokie, IL 60076 2015-11-20
1437549938 Kirsten Hollett Pediatrics 4709 Golf Rd Ste 900, Skokie, IL 60076-1244 2015-02-04
1881008738 Mary Maureen Boren Pediatrics 4709 Golf Rd Ste 900, Skokie, IL 60076 2014-06-19
1972807576 Karen Lynn Gentile Nurse Practitioner 4709 Golf Rd Ste 900, Skokie, IL 60076 2010-12-22
1992023535 Jean A. Russo Nurse Practitioner 4709 Golf Rd Ste 900, Skokie, IL 60076 2010-05-06
1659537371 Colleen Helen Rusciolelli Pediatrics 4709 Golf Rd Ste 900, Skokie, IL 60076-1244 2008-08-01
1215141775 Patricia B. Lawrence Nurse Practitioner 4709 Golf Rd Ste 900, Skokie, IL 60076 2007-05-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902456999 Gateway Foundation, Inc Clinic/Center 4028 W. Dempster, Ste 100, Skokie, IL 60076 2019-09-12
1336798255 Renee Rosenberg Speech-Language Pathologist C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 2019-09-04
1710531223 Dw Care Solutions Hospice Care, Community Based 4556 Oakton St, Suite 205, Skokie, IL 60076 2019-08-01
1689228157 Elaine Ng Pharmacist 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 2019-08-01
1881169381 Kathleen Pyles Registered Nurse 9650 Gross Point Rd # 4900, Skokie, IL 60076 2018-10-10
1174013452 Vitae Health of Illinois LLC Social Worker 3450 Oakton St, Skokie, IL 60076 2018-05-13
1396253530 Jodi Novick Okner Social Worker 9134 Kilbourn Avenue, Skokie, IL 60076 2018-01-22
1700335924 Olumide Adeyemo Nurse Practitioner 4711 Golf Rd Suite 1250, Skokie, IL 60076 2016-09-28
1255705315 Malka Rokach Pharmacist 3358 W Touhy, Skokie, IL 60076 2015-11-30
1578932620 Katrina Margaret Keithley Physician Assistant 9669 Kenton Ave Ste 203, Skokie, IL 60076 2015-09-18
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356722961 Sadia Hussain Pediatrics 9977 Woods Dr Ste 200, Skokie, IL 60077 2015-06-10
1417299272 Seed Pediatrics S.c. Pediatrics 9669 N Kenton Ave Ste 405, Skokie, IL 60076 2013-03-20
1407159452 Joon Han Pai Pediatrics 7420 Lincoln Ave # C, Skokie, IL 60076-5808 2010-12-14
1982868840 Jonathan Ahn Pediatrics 9669 Kenton Ave Ste 405, Skokie, IL 60076-1267 2008-07-10
1326255837 Christine A Mcguire Pediatrics 4611 Golf Rd Ste 200, Skokie, IL 60076-1263 2007-05-16
1831208107 Elana Comrov Pediatrics 4709 Golf Rd Ste 1250, Skokie, IL 60076-1238 2006-08-30
1548231558 Shaheena Ahmed Pediatrics 8320 Skokie Blvd, Skokie, IL 60077 2006-01-28
1003891987 Michael Perry Rosenbaum Pediatrics 9977 Woods Dr, Skokie, IL 60077-1057 2005-12-13
1407852817 Cathy Divincenzo Pediatrics 4709 Golf Rd Ste 900, Skokie, IL 60076 2005-06-22
1043742885 Pauline Ahn Pediatrics 4709 Golf Rd Ste 900, Skokie, IL 60076-1244 2017-03-31
Find all providers in SKOKIE

Competitor

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City SKOKIE
Zip Code 60076

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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