Individual
KATIE D HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
751 N RUTLEDGE ST STE 3100, SPRINGFIELD, IL 62702-4968
(217) 545-8000
(217) 545-1622
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-018844
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-018844
LICENSE
IL
Enumeration date
05/03/2019
Last updated
11/15/2021
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