Katherine F. Stewart D.D.S, L.L.C
Dentist, General Practice in Loves Park, IL. Organization (NPI-2).
NPI number1497315147
StatusActive
Last updated in NPPESJun 15, 2019
Details
- NPI
- 1497315147
- Entity type
- Organization (NPI-2)
- Legal business name
- Katherine F. Stewart D.D.S, L.L.C
- Organization subpart
- No
- Enumeration date
- Jun 15, 2019
- Last updated
- Jun 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Katherine F. Stewart D.D.S, L.L.C (Doing Business As)
Practice location
6508 E Riverside BlvdLoves Park, IL 61111-4424
Phone 815-977-3080 · Fax 815-708-6086
Mailing address
6508 E Riverside BlvdLoves Park, IL 61111-4424
Phone 815-977-3080 · Fax 815-708-6086
Authorized official
Katherine F. Stewart
Owner/Doctor
8152297754
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