Individual
KATHLEEN K FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4600 MEMORIAL DR, SUITE 100, BELLEVILLE, IL 62226-5366
(618) 222-9999
(618) 222-9337
Mailing address
PO BOX 24007, BELLEVILLE, IL 62223-9007
(618) 222-9999
(618) 222-9337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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