Individual
KATIE R LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-5365
(312) 864-9165
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-5365
(312) 864-9165
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005855
IL
213ES0131X
Foot Surgery Podiatrist
016-005855
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2018
Last updated
03/03/2026
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