Most Relevant Information
Provider Data
| NPI Number: | 1003287293 |
| Provider Name: | KATHERINE CAPPITELLI NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 209.013397 |
Most Important Dates
| Enumeration Date: | 10/13/2015 |
| Last Updated: | 07/10/2019 |
Provider Practice Location
676 N SAINT CLAIR ST STE 2125
CHICAGO
IL
606113330
Practice Location Phone/Fax
| Phone: | 3124724218 |
| Fax: |
Provider Mailing Location
5841 S MARYLAND AVE
CHICAGO
IL
606371447
Provider Mailing Phone/Fax
| Phone: | 7738343987 |
| Fax: |