# KATHLEEN CASPER, D.O., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205011822
- **Authorized official:** KATHLEEN CASPER D.O. (OWNER)
- **Authorized official phone:** (773) 445-2802

## Contact information

- **Practice address:** 3235 W 111TH ST, CHICAGO, IL 60655-2730
- **Practice address phone:** (773) 445-2802
- **Practice address fax:** (773) 445-9983
- **Mailing address:** 10660 W 143RD ST, SUITE B, ORLAND PARK, IL 60462-1982
- **Mailing address phone:** (708) 349-0055
- **Mailing address fax:** (708) 460-8031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036066773 | IL | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 036066773 | IL | — |

## Other

- **Enumeration date:** 01/02/2008
- **Last updated:** 12/03/2008