# CHICAGO CHATHAM MEDICAL ASSOCIATES

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

## Provider details

- **NPI number:** 1700901576
- **Authorized official:** DR. GAYLE KATES (DIRECTOR)
- **Authorized official phone:** (773) 753-5800

## Contact information

- **Practice address:** 2011 E 75TH ST, SUITE 111, CHICAGO, IL 60649-3607
- **Practice address phone:** (773) 753-5800
- **Practice address fax:** (773) 753-8819
- **Mailing address:** 6800 S CONSTANCE AVE, CHICAGO, IL 60649-1506
- **Mailing address phone:** (773) 753-5800
- **Mailing address fax:** (773) 684-5867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | — |
| 2080P0210X | Pediatric Nephrology Physician | — | NULL | — |
| 2080P0210X | Pediatric Nephrology Physician | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 09/11/2025