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Individual

LIZABETH KAEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
815 MAIN ST STE C, PEORIA, IL 61602-1080
(309) 672-4977
Mailing address
815 MAIN ST STE C, PEORIA, IL 61602-1080
(309) 672-4977

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.160082
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/15/2019
Last updated
01/26/2024
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