Individual
CATHERINE L MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 STATE ST, CATLIN, IL 61817
(217) 550-1309
Mailing address
101 STATE ST, CATLIN, IL 61817
(217) 918-8000
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
813954941
—
IL
Enumeration date
02/04/2019
Last updated
02/04/2019
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