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Search › Illinois › 208600000X

Katherine Widerborg, MD

NPI 1588757579 · on the registry since 2006 · sole proprietor

Practice

Address
1537 Fort Jesse Rd
Suite A
Normal, IL 61761
Phone
(309) 808-0122
Fax
(309) 808-0552
Organisation at this address
Premier Medical Group, Llc
Dr. Katherine Widerborg M.D., F.A.C.S., P.C.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-03-12

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