Dr. Catherine Jeanne Minnick
Primary Podiatric Medicine
561 W Diversey Pkwy Suite 212
Chicago
, Illinois 60614-6068
Dr. Catherine Jeanne Minnick
Primary Podiatric Medicine
561 W Diversey Pkwy Suite 212
Chicago
, Illinois 60614-6068
(773) 549-0323
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Catherine Jeanne Minnick
- 561 W Diversey Pkwy Suite 212
- Chicago, IL
- Zip : 60614-6068
- Phone : (773) 549-0323
Second Address
- Dr. Catherine Jeanne Minnick
- 561 W Diversey Pkwy Suite 212
- Chicago, IL
- Zip : 60614-6068
- Phone : (773) 549-0323
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 016003251 | IL |
National Provider Identifier
| NPI | 1265581060 |
|---|---|
| Provider Name | Dr. Catherine Jeanne Minnick |
| First Address | Chicago, IL 60614-6068 |
| Second Address | Chicago, IL 60614-6068 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2007 |
| Last Update Date | 25/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0060001266 | BCBSIL (01) | IL |
| 016003251 | (05) | IL |
| T37715 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.