Individual
KATHERINE EVERY MATULLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
815 MAIN ST STE C, PEORIA, IL 61602-1080
(309) 672-4977
Mailing address
815 MAIN ST STE C, PEORIA, IL 61602-1080
(309) 672-4977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036167477
IL
Other
Enumeration date
04/11/2021
Last updated
07/01/2024
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