Individual
MRS. KATHERINE ANN CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
THREE SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 62269-1282
(618) 233-6044
(833) 973-4218
Mailing address
THREE SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 62269-1282
(618) 233-6044
(833) 973-4218
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
209-014690
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209014690
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01735118
RAILROAD
IL
Enumeration date
08/30/2016
Last updated
12/22/2021
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