Individual
KATHERINE ANN GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
390 E CONGRESS PKWY, SUITE J, CRYSTAL LAKE, IL 60014-6202
(815) 356-5050
(815) 356-5094
Mailing address
1701 E WOODFIELD ROAD, SUITE 1000, SCHAUMBURG, IL 60173-5113
(847) 240-2211
(847) 240-2418
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036107621
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036-107621
IL
Other
Enumeration date
02/27/2007
Last updated
12/28/2012
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