Individual
KATHERINE WIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(630) 995-6960
Mailing address
13222 S ORCHID ST, PLAINFIELD, IL 60544-6334
(630) 995-6960
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011190
IL
Other
Enumeration date
09/17/2015
Last updated
01/21/2026
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