Individual
KATHERN JOAN NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 W WHITTAKER ST, SALEM, IL 62881-1900
(618) 548-3740
Mailing address
5322 SEVEN HILLS RD, ODIN, IL 62870-1402
(618) 292-6762
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2090274791
IL
363LF0000X
Family Nurse Practitioner
Primary
209.0274791
IL
Other
Enumeration date
05/31/2023
Last updated
06/25/2024
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