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Individual

KATHRYN L TORNQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., A.P.N.

Contact information

Practice address
1100 BEECH ST, BLDG 8, NORMAL, IL 61761-1493
(309) 452-8242
(309) 454-1996
Mailing address
1100 BEECH ST, BLDG 8, NORMAL, IL 61761-1493
(309) 452-8242
(309) 454-1996

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
057-71370
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/10/2007
Last updated
07/08/2007
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