Individual
KATHERINE SPANGENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2100 GLENWOOD AVE, JOLIET, IL 60435-5487
(815) 725-2121
(815) 741-6303
Mailing address
2100 GLENWOOD AVE, JOLIET, IL 60435-5487
(815) 725-2121
(815) 741-6303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036102796
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36102796
—
IL
Enumeration date
06/20/2006
Last updated
06/01/2022
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