Katheryn Ellen Gambetta

MD | Pediatric Cardiology | Female

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Complete Profile:

Katheryn Ellen Gambetta basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Katheryn Ellen Gambetta
Credential :	MD
Gender :	Female

Business Address:

Katheryn Ellen Gambetta address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2300 N Childrens Plz, Box 21 Chicago, IL, 60614-3363 United States
Phone Number :	773-880-4553
Fax Number :	773-880-8111

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1609056654
NPI Entity Type :	Individual
First Enrolment Date :	07 Nov, 2007
Last Updated On :	04 Aug, 2008

Medicare Participation:

Katheryn Ellen Gambetta participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8921257957
Medicare Enrollment ID :	I20121005000423
Primary Specialty :	Pediatric Medicine
Medical School :	Indiana University School Of Medicine
Graduation Year :	1997
Accepts Medicare?	Yes. Katheryn Ellen Gambetta accepts medicare insurance.

Group Practice Association:

Katheryn Ellen Gambetta is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Katheryn Ellen Gambetta is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Pediatric Faculty Foundation Inc	4789597279	115	225 E Chicago Ave Chicago, IL - 606112991 Ph: 8005437362	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Katheryn Ellen Gambetta are as mentioned. Primary taxonomy code for Katheryn Ellen Gambetta, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	No	99028739A	IN
2080P0202X	Pediatrics Pediatric Cardiology	Yes	036104852	IL

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2300 N Childrens Plz, Box 21 Chicago, IL, 60614-3363 United States
Phone Number :	773-880-4553
Fax Number :	773-880-8111

Business Location:

Patients can refer following map for directions to Katheryn Ellen Gambetta practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.