Kathleen Elizabeth Mcdonough
Family Doctor Family Doctor - Addiction Medicine
5425 W Lake St
Chicago
, Illinois 60644-2342
Kathleen Elizabeth Mcdonough
Family Doctor Family Doctor - Addiction Medicine
5425 W Lake St
Chicago
, Illinois 60644-2342
(773) 378-4028
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Kathleen Elizabeth Mcdonough
- 5425 W Lake St
- Chicago, IL
- Zip : 60644-2342
- Fax : (773) 378-4028
- Phone : (773) 378-3347
Second Address
- Kathleen Elizabeth Mcdonough
- 5425 W Lake St
- Chicago, IL
- Zip : 60644-2342
- Fax : (773) 378-4028
- Phone : (773) 378-3347
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 036123200 | IL |
| N | 207Q00000X | Family Doctor | 125051044 | IL |
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 036123200 | IL |
National Provider Identifier
| NPI | 1700086709 |
|---|---|
| Provider Name | Kathleen Elizabeth Mcdonough |
| First Address | Chicago, IL 60644-2342 |
| Second Address | Chicago, IL 60644-2342 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2007 |
| Last Update Date | 17/02/2021 |
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.