| NPI | 1720377690 |
|---|---|
| Doing Business As | KATHERINE WIDERBORG, M.D. |
| Entity Type | Organization |
| Authorized Contact | JOHN HESSE Executive Administrator 309-662-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 36-068927) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |