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Individual

CATHERINE NICOLE WHEATLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1801 W TAYLOR ST # MC650, CHICAGO, IL 60612
(312) 413-7500
(312) 413-3856
Mailing address
820 S WOOD ST # MC808, CHICAGO, IL 60612-4325
(312) 996-7430

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036142692
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04838793
NM
05
200570970 A
OK
05
342237001
TX
05
342237003
TX
Enumeration date
06/10/2010
Last updated
07/21/2020
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