Provider Demographics
NPI:1871010579
Name:WARSHAW, KATE (DPT)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:WARSHAW
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:MARCONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2207 W ROSCOE ST APT 3E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-6374
Mailing Address - Country:US
Mailing Address - Phone:440-785-0976
Mailing Address - Fax:
Practice Address - Street 1:3101 N GREENVIEW AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-3171
Practice Address - Country:US
Practice Address - Phone:773-270-1898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.023192225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist