KATHERINE ANNETTE MCKEOUGH


Address: 5159 S Ashland Ave, Chicago, IL 60609-4931
Phone: 7734249216

KATHERINE ANNETTE MCKEOUGH (NPI# 1013471150) 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) 1013471150
Entity Type Individual
Full Name KATHERINE ANNETTE MCKEOUGH
Practice Address 5159 S Ashland Ave
Chicago
IL 60609-4931
Practice Telephone 7734249216
Enumeration Date 2019-01-23
Last Update Date 2020-02-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5159 S ASHLAND AVE
City CHICAGO
State IL
Zip Code 60609-4931

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427131820 Ming-chung Chen Family Medicine 5159 S Ashland Ave, Chicago, IL 60609-5322 2006-10-23
1871131805 Victoria Diane Viveen Physician Assistant 5159 S Ashland Ave, Chicago, IL 60609-4931 2019-12-20
1619447745 Mira Elizabeth Hager Physician Assistant 5159 S Ashland Ave, Chicago, IL 60609-4931 2018-12-02
1013482470 Evans O Ogebor Registered Nurse 5159 S Ashland Ave, Chicago, IL 60609-4931 2018-10-11
1205343514 Natasha Nichelle Pavlovcik Nurse Practitioner 5159 S Ashland Ave, Chicago, IL 60609-4931 2018-01-08
1033651211 Regina Therese Defranco Nurse Practitioner 5159 S Ashland Ave, Chicago, IL 60609-4931 2016-11-05
1801225024 William Thomas Kvasnicka Physician Assistant 5159 S Ashland Ave, Chicago, IL 60609-4931 2013-11-07
1821258724 Myesha Janell Banks Pediatrics 5159 S Ashland Ave, Chicago, IL 60609-4931 2008-06-13
1043398217 Access Community Health Network Clinic/Center 5159 S Ashland Ave, Chicago, IL 60609-4931 2006-11-02
1073697934 Kalpana Singh Obstetrics & Gynecology 5159 S Ashland Ave, Chicago, IL 60609-4931 2006-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144843152 Healing and Fuerza Therapy LLC Clinic/Center 3735 S Wallace St 1r, Chicago, IL 60609 2020-05-26
1306407721 Athletico Ltd Physical Therapist 5336 S State St, Chicago, IL 60609 2019-06-26
1396157939 Unlimited Resources Private Vehicle 8104 S. Kingston, Chicago, IL 60609 2014-06-02
1013215474 Giles B. Mizock M.d. Ltd. Obstetrics & Gynecology 5025 W. Paulina, Methodist Hosp, Chicago, IL 60609 2011-03-09
1164691630 Alfreda D Beard Dentist 5050 So State, Chicago, IL 60609 2008-02-28
1588876510 Victor P Gutierrez Chiropractor 1824 W. 47th St., Chicago, IL 60609 2007-05-03
1619092558 Highlander Care Center, LLC Skilled Nursing Facility 4815 S Western Ave, Chicago, IL 60609 2007-03-20
1437295482 Rolando A Lara Internal Medicine 1708 W 47th St, Chicago, IL 60609 2007-01-29
1497765168 Judith H Mcdevitt Nurse Practitioner 734 W. 47th Street, Ihc South, Chicago, IL 60609 2006-08-08
1790795474 Lorrita Marie Verhey Nurse Practitioner 734 W. 47th Street South, Ihc, Chicago, IL 60609 2006-08-08
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508470709 Bryan Ying Wong Physician Assistant 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 2020-09-04
1245858117 Emily Victoria Headley Physician Assistant 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 2020-07-08
1548884547 Crystal Afua Amoah Physician Assistant 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 2020-06-04
1841814274 Zubair Aslam Khan Physician Assistant 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 2020-06-01
1659991818 Taylor Nicole Anderson Physician Assistant 25 W Randolph St Apt 603, Chicago, IL 60601-3514 2020-04-17
1720616444 Melanie Doretti Physician Assistant 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 2020-03-29
1154958544 Joerissa Gearlds Physician Assistant 5645 W Addison St Rm 353, Chicago, IL 60634-4403 2020-03-25
1932736816 Taylor Evan Fisher Physician Assistant 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 2020-03-23
1285260844 Krista A Saum Physician Assistant 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 2020-03-16
1386278430 Adara Simonelli Physician Assistant 6317 S Lorel Avenue, Chicago, IL 60638 2020-02-27
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City CHICAGO
Zip Code 60609

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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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