Individual
MISS KATHRYN ANNE WEBSTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2065 HALF DAY RD, BANNOCKBURN, IL 60015-1241
(847) 317-7116
Mailing address
30 E SCRANTON AVE, #2, LAKE BLUFF, IL 60044-2580
(847) 317-7116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
096001292
IL
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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