Individual
MRS. MARY KATHERINE IMIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
411 MAXINE DRIVE, MORTON, IL 61550
(309) 263-2411
(309) 263-2208
Mailing address
411 MAXINE DRIVE, MORTON, IL 61550
(309) 263-2411
(309) 263-2208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036154510
IL
Other
Enumeration date
06/27/2018
Last updated
09/16/2022
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