KATHERINE ENRIETTO
NPI 1104620194
Surgery in Park Ridge, IL

Q: What is Katherine Enrietto's NPI number?

The NPI number for Katherine Enrietto is 1104620194. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Q: What is Katherine Enrietto's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 01, 2025

1775 DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-2210 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2025, Apr 1, 2025 (2 updates tracked since 2025).

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About Katherine Enrietto NPPES

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

KATHERINE ENRIETTO (NPI 1104620194) is an individual surgery provider in Park Ridge, Illinois, licensed in Illinois (125.085778) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1104620194

Entity TypeIndividual

Primary Taxonomy208600000X

Provider Legal NameKATHERINE ENRIETTO

Location Address1775 DEMPSTER STPark Ridge, IL 60068-1143

Mailing Address1775 Dempster StPark Ridge, IL 60068-1143

Phone(847) 723-2210

Sole ProprietorNo

Enumeration DateApril 1, 2025

Last NPPES UpdateJune 16, 20252 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1104620194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IL · 125.085778

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1775 DEMPSTER ST, Park Ridge, IL 60068

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Other Providers at the Same Location NPPES 20

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

MS. STACEY K ROLINE PA-C

Physician Assistant (Surgical)