Most Relevant Information
Provider Data
| NPI Number: | 1003509530 |
| Provider Name: | KATHERN JOAN NORMAN NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2090274791 |
Most Important Dates
| Enumeration Date: | 05/31/2023 |
| Last Updated: | 06/25/2024 |
Provider Practice Location
1250 W WHITTAKER ST
SALEM
IL
628811900
Practice Location Phone/Fax
| Phone: | 6185483740 |
| Fax: |
Provider Mailing Location
5322 SEVEN HILLS RD
ODIN
IL
628701402
Provider Mailing Phone/Fax
| Phone: | 6182926762 |
| Fax: |