Individual
DR. KATHRYN MARIE WALDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1109 S LINCOLN AVE, URBANA, IL 61801-4703
(217) 333-7622
(217) 244-6495
Mailing address
1704 GEORGETOWN DR, CHAMPAIGN, IL 61821-5520
(217) 390-3139
(217) 244-6495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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