Individual
DR. KATHERINA RENATE BOETTGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1525 SPICED WINE AVE UNIT 23102, HENDERSON, NV 89074-0181
(702) 773-6176
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
036169765
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
04/22/2026
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