Individual
MRS. KATHRYN BRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
119 E PARTRIDGE ST, METAMORA, IL 61548-0354
(309) 367-9788
(309) 367-9817
Mailing address
PO BOX 354, METAMORA, IL 61548-0354
(309) 367-9788
(309) 367-9817
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10232011
BCBS
IL
01
—
P00170382
RAIL ROAD MEDICARE
IL
Enumeration date
10/31/2006
Last updated
07/08/2007
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