Provider Demographics
NPI:1649711292
Name:BACH, CATHERINE (DO)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:BACH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:900 N WESTMORELAND RD STE 220
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1681
Mailing Address - Country:US
Mailing Address - Phone:847-535-8060
Mailing Address - Fax:847-535-8070
Practice Address - Street 1:900 N WESTMORELAND RD STE 220
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1681
Practice Address - Country:US
Practice Address - Phone:847-535-8060
Practice Address - Fax:847-535-8070
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-15
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036151551207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine