Individual
DR. KATHERINE LESLIE GRIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6801 W 34TH ST, BERWYN, IL 60402-5591
(705) 484-0011
Mailing address
PO BOX 74, HIAWATHA, IA 52233-0074
(630) 734-9560
(630) 734-9565
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036067292
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036067292
—
IL
Enumeration date
08/10/2005
Last updated
06/14/2021
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