DR. KATIE TATARIS (NPI# 1821237397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821237397 |
| Entity Type | Individual |
| Full Name | DR. KATIE TATARIS |
| Credential | M.D. |
| Practice Address |
180 Harvester Dr Suite 110 Burr Ridge IL 60527-7594 |
| Mailing Address |
5841 S Maryland Ave Chicago IL 60637-1447 |
| Practice Telephone | 7737021150 |
| Mailing Telephone | 7737029500 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2014-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
036.126416 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
180 HARVESTER DR SUITE 110 |
| City | BURR RIDGE |
| State | IL |
| Zip Code | 60527-7594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386611903 | Bryan N Becker | Internal Medicine | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2006-03-02 |
| 1144639527 | Andrew Richardson | Nurse Practitioner | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2014-08-11 |
| 1720403843 | Joyce Eapen | Nurse Practitioner | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2014-02-26 |
| 1902234941 | Brittany Beach | Internal Medicine | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2013-10-30 |
| 1164850244 | Kimberly Salminen | Physician Assistant | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2013-10-28 |
| 1992139281 | Kristine Marie Bowersox | Physician Assistant | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2013-08-22 |
| 1255771093 | Eric Shappell | Emergency Medicine | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527 | 2013-06-25 |
| 1467895805 | Monica Rojas | Dietitian, Registered | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2013-04-16 |
| 1699011189 | Leticia Lemus | Nurse Practitioner | 180 Harvester Dr, Burr Ridge, IL 60527-7594 | 2013-01-02 |
| 1487990156 | University of Chicago Physicians Group | Clinic/Center | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2012-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760715 | Michael James Doolin | Emergency Medicine | 1338 S Clinton St, Chicago, IL 60607-5037 | 2019-09-24 |
| 1578091971 | The Board of Trustee for The University of Illinois | Emergency Medicine | 10000 West O'hare, Terminal 2, Chicago, IL 60660-0508 | 2017-05-30 |
| 1669712808 | Kathryn Theresa Pajak | Emergency Medicine | 5659 S Oak Park Ave, Chicago, IL 60638-3227 | 2013-02-26 |
| 1174832976 | Craig William Dean | Emergency Medicine | 155 N Harbor Dr Apt 309, Chicago, IL 60601-7386 | 2010-09-28 |
| 1770809881 | King, Ltd | Emergency Medicine | 9332 S Vanderpoel Ave, Chicago, IL 60643-5852 | 2010-04-14 |
| 1306098231 | Robert Dietz Tetik | Emergency Medicine | 2272 95th St Ste 106, Naperville, IL 60564-8942 | 2008-10-22 |
| 1831384643 | Primus Trauma Care LLC | Emergency Medicine | 1304 Franklin Avenue, Normal, IL 61761 | 2007-09-14 |
| 1245355411 | Pekin Memorial Hospital | Emergency Medicine | 600 So 13th Street, Pekin, IL 61554-4969 | 2007-03-20 |
| 1396879268 | Nanci A Cherry | Emergency Medicine | 7419 Bell Harbour Dr, Rockford, IL 61114-6600 | 2007-03-15 |
| 1972609782 | Jennifer Lynn Webb | Emergency Medicine | 15730 Robert Louis Dr, Plainfield, IL 60544-2146 | 2006-09-16 |
| Find all providers with the same taxonomy | ||||
| City | BURR RIDGE |
| Zip Code | 60527 |
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| 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.