Provider Demographics
NPI:1578455432
Name:THIGPEN, KATHERINE A (DACM, LAC, DIPLOM)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:A
Last Name:THIGPEN
Suffix:
Gender:F
Credentials:DACM, LAC, DIPLOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N RACINE AVE APT 220
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-6096
Mailing Address - Country:US
Mailing Address - Phone:480-213-1185
Mailing Address - Fax:
Practice Address - Street 1:1111 W MADISON ST STE 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-2055
Practice Address - Country:US
Practice Address - Phone:773-234-1042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.011745171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist