Dr Katherine Widerborg MD, FACS, PC
Dr Katherine Widerborg MD, FACS, PC provides Surgery Physician services in Normal, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1537 Fort Jesse Rd Ste ANormal, IL 61761-6192 Not confirmed with CMS for 17 years — call before visiting
Phone: (309) 808-0122
Fax: (309) 808-1187
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 036-068927 (IL) |
|---|
Record details
| NPI number | 1699906966 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Katherine Widerborg — Owner · (309) 212-2002 |
| NPI enumerated | August 4, 2009 |
| Last updated in NPPES | September 21, 2009 |
| Mailing address | 1537 Fort Jesse Rd, Suite A, Normal, IL 61761-6192 |
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