Individual
KATHLEEN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
801 W TEMPLE AVE, EFFINGHAM, IL 62401-2168
(217) 342-4151
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209010479
IL
Other
Enumeration date
06/17/2013
Last updated
03/02/2022
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