Provider Demographics
NPI:1215279393
Name:RIFF, KATHERINE M (MD)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:M
Last Name:RIFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:M
Other - Last Name:HAMMEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2850 W 95TH STREET
Mailing Address - Street 2:SUITE 400
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805
Mailing Address - Country:US
Mailing Address - Phone:708-424-7600
Mailing Address - Fax:708-424-7605
Practice Address - Street 1:2850 W 95TH STREET
Practice Address - Street 2:SUITE 400
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805
Practice Address - Country:US
Practice Address - Phone:708-424-7600
Practice Address - Fax:708-424-7605
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-26
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036141102208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics