Individual
KATHERINE E CHRISTOPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2534 E LINCOLN HWY, NEW LENOX, IL 60451-9712
(313) 310-9105
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
096.003078
IL
Other
Enumeration date
02/25/2012
Last updated
02/25/2012
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