Provider Demographics
NPI:1407288442
Name:WEHRMANN, KATHERINE MALONE (APN-CNM)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MALONE
Last Name:WEHRMANN
Suffix:
Gender:
Credentials:APN-CNM
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ELIZABETH
Other - Last Name:MALONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2650 RIDGE AVE STE 1223
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1700
Mailing Address - Country:US
Mailing Address - Phone:847-982-3175
Mailing Address - Fax:
Practice Address - Street 1:1200 S YORK ST STE 4280
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5632
Practice Address - Country:US
Practice Address - Phone:331-221-9004
Practice Address - Fax:312-221-2748
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209010558367A00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife