Individual
MARC KATCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
765 N KELLOGG ST, SUITE 207, GALESBURG, IL 61401-2875
(309) 342-7002
(309) 342-3257
Mailing address
765 N KELLOGG ST, SUITE 207, GALESBURG, IL 61401-2875
(309) 342-7002
(309) 342-3257
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036078282
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360782822
—
IL
01
—
061658
HEALTH ALLIANCE
IL
01
—
130022365
RAILROAD MEDICARE
IL
01
—
472298
HEALTHLINK
IL
01
—
7215059
BCBS PPO
IL
01
—
IL01H4
JOHN DEERE
IL
Enumeration date
07/31/2006
Last updated
12/18/2012
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