Provider Demographics
NPI:1801416938
Name:ZHU, KATHERINE HOU
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:HOU
Last Name:ZHU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-3312
Mailing Address - Country:US
Mailing Address - Phone:847-666-3494
Mailing Address - Fax:855-225-3022
Practice Address - Street 1:2323 GRAND AVE
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-3312
Practice Address - Country:US
Practice Address - Phone:847-666-3494
Practice Address - Fax:855-225-3022
Is Sole Proprietor?:No
Enumeration Date:2020-04-18
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.076478207V00000X
IL036162849207V00000X, 208M00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program