Individual
KATIE AWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 S 3RD ST STE 400, BELLEVILLE, IL 62220-1952
(618) 233-7880
(618) 222-4792
Mailing address
180 S 3RD ST STE 400, BELLEVILLE, IL 62220-1952
(618) 233-7880
(618) 222-4792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036137012
IL
207Q00000X
Family Medicine Physician
125.062461
IL
208M00000X
Hospitalist Physician
036137012
IL
Other
Enumeration date
07/19/2012
Last updated
03/16/2015
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