Provider Demographics
NPI:1386953057
Name:CATALFIO, JENNIFER K (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:K
Last Name:CATALFIO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:K
Other - Last Name:NOLTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:120 OAKBROOK CTR
Mailing Address - Street 2:SUITE 424
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1806
Mailing Address - Country:US
Mailing Address - Phone:630-574-0460
Mailing Address - Fax:630-574-0470
Practice Address - Street 1:120 OAKBROOK CTR
Practice Address - Street 2:SUITE 424
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1806
Practice Address - Country:US
Practice Address - Phone:630-574-0460
Practice Address - Fax:630-574-0470
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2016-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085.003790363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical