Individual
KATHERINE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1307 W WASHINGTON, STE 100, OREGON, IL 61061-1022
(815) 732-2581
(815) 732-3926
Mailing address
1307 W WASHINGTON, STE 100, OREGON, IL 61061-1022
(815) 732-2581
(815) 732-3926
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003426
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060101255
BCBS
—
01
—
480034798
RR MEDICARE
—
Enumeration date
10/04/2006
Last updated
05/06/2008
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