Catherine Ann Dziedzic
Nurse Practitioner, Pediatrics in Chicago, IL. Individual provider (NPI-1).
NPI number1952872004
StatusActive
Last updated in NPPESJul 21, 2025
Details
- NPI
- 1952872004
- Entity type
- Individual (NPI-1)
- Name
- Catherine Ann Dziedzic
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2018
- Certification date
- Jul 21, 2025
- Last updated
- Jul 21, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 209.018534 | IL | Yes |
Practice location
225 E Chicago AveChicago, IL 60611-2991
Phone 312-227-4000
Mailing address
225 E Chicago AveChicago, IL 60611-2991
Phone 773-366-2027
Other practice locations
250 E Superior St
Chicago, IL 60611-2914
Chicago, IL 60611-2914
Phone 312-926-2000
2515 N Clark St
Chicago, IL 60614-2730
Chicago, IL 60614-2730
Phone 312-227-6460
1870 Silver Cross Blvd Ste 100
New Lenox, IL 60451-8640
New Lenox, IL 60451-8640
Phone 312-227-3620
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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