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Katie Mallon, LMT
NPI 1023424918 · on the registry since 2014
Practice
- Address
- 742 N Market St Ste D
Waterloo, IL 62298 - Phone
- (314) 740-2172
- Organisation at this address
- Premier Eyecare Center Pc
Essential Healthcare, Llc
Dr. Jennifer Kujawski, Llc
Access Healthcare Of Waterloo, LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-07-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois