Individual
KAREN BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 DRAWBRIDGE RD, SUITE 4, SPRINGFIELD, IL 62704-5267
(217) 787-7889
(217) 788-7899
Mailing address
2 DRAWBRIDGE RD, SUITE 4, SPRINGFIELD, IL 62704-5267
(217) 787-7889
(217) 788-7899
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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