Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katharina Atmadja

Individual provider Dentist · NPI 1265818215

Katharina Atmadja is a Dentist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
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Practice location Address checks out

801 S Paulina St Rm 301
Chicago, IL 60612-7210
Phone: (312) 996-1036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 136-000193 (IL)

Record details

NPI number1265818215
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 31, 2015
Last updated in NPPESJuly 31, 2015

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