MS. KATRINA MARGARET KEITHLEY


Address: 9669 Kenton Ave Ste 203, Skokie, IL 60076
Phone: 8476796333

MS. KATRINA MARGARET KEITHLEY (NPI# 1578932620) 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) 1578932620
Entity Type Individual
Full Name MS. KATRINA MARGARET KEITHLEY
Credential PA-C
Practice Address 9669 Kenton Ave Ste 203
Skokie
IL 60076
Mailing Address 9669 Kenton Ave Ste 203
Skokie
IL 60076-1227
Practice Telephone 8476796333
Mailing Telephone 8476796333
Enumeration Date 2015-09-18
Last Update Date 2019-11-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 085006211 IL Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 5601007532 MI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
17000 E 10 Mile Rd, Eastpointe, MI 480211263 5865635555
9669 Kenton Ave Ste 203, Skokie, IL 60076 8476796333

Office Location

Street Address 9669 KENTON AVE STE 203
City SKOKIE
State IL
Zip Code 60076

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
1902291644 Peter J. Waller Family Medicine 9650 Gross Point Rd. Suite 2900, Skokie, IL 60076 2015-03-31
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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
1649882192 Anna Marie Phillips Physician Assistant 5337 Main St, Skokie, IL 60077-2029 2020-08-17
1629695333 Alli Joy Chemmachel Physician Assistant 4925 Dobson St, Skokie, IL 60077-2820 2020-06-29
1720109424 Ian V Mackey Physician Assistant 9669 Kenton Ave Ste 209, Skokie, IL 60076-1226 2007-04-02
1750369914 Thomas S Hans Jr. Physician Assistant 9650 Gross Point Rd Ste 2900, Skokie, IL 60076-5006 2006-01-06
1770112302 Danielle Gomez Physician Assistant 9650 Gross Point Rd Ste 2900, Skokie, IL 60076-5006 2020-04-06
1710510391 Michaela Rose Mackey Physician Assistant 9977 Woods Dr Ste 100, Skokie, IL 60077-1057 2020-02-21
1114557717 Kevin J Lapp Physician Assistant 9650 Gross Point Rd, Skokie, IL 60076-5080 2020-01-22
1346888989 Annie Zupan Physician Assistant 9977 Woods Dr, Skokie, IL 60077-1057 2019-12-13
1568003655 Lauren Ashley Zaucha Physician Assistant 9650 Gross Point Rd., Skokie, IL 60076 2019-10-01
1497219380 Kelly Pickering Physician Assistant 9650 Gross Point Rd Ste 2900, Skokie, IL 60076 2019-01-25
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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