Individual
DR. KATIE MCGLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
747 N RUTLEDGE ST, SPRINGFIELD, IL 62702-6700
(217) 545-6112
Mailing address
PO BOX 19653, SPRINGFIELD, IL 62794-9653
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
125080722
IL
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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