Individual
DR. KATHRYN FIDELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1550 N NORTHWEST HWY STE 220, PARK RIDGE, IL 60068-1459
(847) 824-3198
(847) 824-1291
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101275883
VA
207X00000X
Orthopaedic Surgery Physician
036-178122
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
036-178122
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME162547
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2017
Last updated
03/06/2026
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