Provider Demographics
NPI:1215905922
Name:DUFFY, CATHERINE ELISE (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ELISE
Last Name:DUFFY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2300 CHILDRENS PLAZA
Mailing Address - Street 2:BOX 21 CHILDRENS MEMORIAL HOSPITAL
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-3363
Mailing Address - Country:US
Mailing Address - Phone:773-880-4553
Mailing Address - Fax:773-880-8111
Practice Address - Street 1:2300 CHILDRENS PLAZA
Practice Address - Street 2:BOX 21 CHILDRENS MEMORIAL HOSPITAL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3363
Practice Address - Country:US
Practice Address - Phone:773-880-4553
Practice Address - Fax:773-880-8111
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK04404Medicare ID - Type Unspecified
E24621Medicare UPIN