Individual provider · Type 1 NPI

Katherine Enrietto

Surgery Physician · Park Ridge, IL

NPI number 1104620194 Active

Practice location

1775 Dempster St
Park Ridge, IL 60068-1143

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgery Physician Primary 208600000X125.085778 (IL)

Surgery Physician: 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 increasin…

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About NPI 1104620194

Katherine Enrietto's National Provider Identifier is 1104620194, issued on Apr 1, 2025. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Park Ridge, IL. The record was last updated on Jun 16, 2025.