Individual
MS. MARY KATHERINE PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1658 S IL ROUTE 2, OREGON, IL 61061-9514
(815) 732-2499
(815) 732-6077
Mailing address
PO BOX 462, OREGON, IL 61061-0462
(815) 732-2499
(815) 732-6077
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209014306
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209014306
LICENSE
IL
Enumeration date
04/11/2006
Last updated
03/24/2025
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