Individual
KATIE MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-5950
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-5950
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209018600
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209018600
LICENSE
IL
Enumeration date
01/16/2019
Last updated
03/06/2026
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