DR. KATHERINE L SHEPHERD MD - NPI 1053306365

Q: What is Katherine Shepherd's NPI number?

The NPI number for Katherine Shepherd is 1053306365. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Q: What is Katherine Shepherd's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Dr. Katherine L Shepherd Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHERINE L SHEPHERD MD (NPI 1053306365) is an individual pediatrics provider in Skokie, Illinois, licensed in Illinois (036091880) and active in the NPI registry since September 2005. She maintains a secondary practice location in Skokie.

NPPES Registry Identity

NPI1053306365

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KATHERINE L SHEPHERDCredential: MD

Location Address4709 GOLF RD STE 900Skokie, IL 60076

Mailing Address4709 Golf Rd Ste 900Skokie, IL 60076-1244 · (847) 676-5394 · Fax (847) 679-7183

Phone(847) 676-5394

Fax(847) 679-7183

Sole ProprietorNo

Enumeration DateSeptember 13, 2005

Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1053306365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036091880

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4709 GOLF RD STE 900, Skokie, IL 60076

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Secondary Practice Location 1

Location 14709 Golf Rd Ste 1250Skokie, IL 60076-1238 · Phone (847) 676-5394 · Fax (847) 679-7183

Other Identifiers 1

Medicaid036091880IL

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULINE AHN MD

Pediatrics