Provider Demographics
NPI:1447661772
Name:CATTAGE, CLAUDIA L
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:L
Last Name:CATTAGE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CLAUDIA
Other - Middle Name:L
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2727 S INDIANA AVE APT 208
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-2651
Mailing Address - Country:US
Mailing Address - Phone:773-827-0581
Mailing Address - Fax:
Practice Address - Street 1:2727 S INDIANA AVE APT 208
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-2651
Practice Address - Country:US
Practice Address - Phone:773-827-0581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-08
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist