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

Katherine Enrietto

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104620194

Katherine Enrietto is a Student in an Organized Health Care Education/Training Program in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1775 Dempster St
Park Ridge, IL 60068-1143
Phone: (847) 723-2210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125.085778 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104620194
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedApril 1, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address1775 Dempster St, Park Ridge, IL 60068-1143

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