Individual
KATHERINE V POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1890 SILVER CROSS BLVD, SUITE 410, NEW LENOX, IL 60451-9524
(815) 717-8730
(815) 717-8729
Mailing address
1890 SILVER CROSS BLVD, SUITE 410, NEW LENOX, IL 60451-9524
(815) 717-8730
(815) 717-8729
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085005330
IL
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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