Individual
KATHERINE MARIE HIDAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
917 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
(847) 295-1220
(847) 295-1225
Mailing address
917 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
(847) 295-1220
(847) 295-1225
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125051762
IL
Other
Enumeration date
07/30/2008
Last updated
04/06/2015
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