Individual
KATHLEEN MARY TREANOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 E SOUTHWIND RD, SPRINGFIELD, IL 62703-5125
(217) 786-0093
(217) 786-0193
Mailing address
901 E SOUTHWIND RD, SPRINGFIELD, IL 62703-5125
(217) 786-0093
(217) 786-0193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036088510
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088510
—
IL
Enumeration date
05/27/2006
Last updated
05/03/2016
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