Individual
KATHLEEN MARIE EHLBECK COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3001 HIGHLAND VIEW DR, FREEPORT, IL 61032
(815) 235-3165
Mailing address
PO BOX 268, FREEPORT, IL 61032-0268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036150064
IL
207Q00000X
Family Medicine Physician
125069323
IL
Other
Enumeration date
04/19/2016
Last updated
11/07/2024
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