Individual
KATHERINE E BARNEWOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7814 N KICKAPOO EDWARDS RD, SUITE A, EDWARDS, IL 61528-9564
(309) 691-6920
(309) 691-6921
Mailing address
PO BOX 54, EDWARDS, IL 61528-0054
(309) 691-6920
(309) 691-6921
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011546
IL
111NP0017X
Pediatric Chiropractor
038011546
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7232266
GROUP BCBS OF IL
IL
Enumeration date
11/10/2009
Last updated
09/20/2019
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