Individual
DR. KATHERINE M AUSTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 DOCTORS PARK, GIBSON CITY, IL 60936-2004
(217) 784-5500
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036110454
IL
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
036110454
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110454
—
IL
Enumeration date
09/06/2005
Last updated
08/24/2022
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