Individual
KAYLA MARIE FREEBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, PNP-PC
Contact information
Practice address
10 SAINT CLARE CT, WASHINGTON, IL 61571-9239
(309) 624-2277
Mailing address
109 LAKEWOOD AVE, EAST PEORIA, IL 61611-4556
(309) 336-1994
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
209.026056
IL
Other
Enumeration date
10/11/2022
Last updated
07/29/2024
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