Catherine J Kilbourn in Peoria - Clinical

Catherine J Kilbourn - NPI 1023179967

Catherine J Kilbourn is a Clinical in Peoria, Illinois. Catherine J Kilbourn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Catherine J Kilbourn is 1023179967. The last update date is 2007-07-08.

Catherine J Kilbourn's current location address is 900 Main St, Peoria, Illinois. You can contact this provider via phone number 3096374266 and fax number 3096379836. The mailing address for Catherine J Kilbourn is 900 Main St, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Catherine J Kilbourn
Address 900 Main St, Peoria, Illinois
Phone Number 3096374266
Fax Number 3096379836
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1023179967
Provider Enumeration Date 2006-12-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 900 Main St
City Peoria
State Illinois (IL)
Post Code 616021005
Phone Number 3096374266
Fax Number 3096379836

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Catherine J Kilbourn

What is the unique provider identifier assigned to Catherine J Kilbourn?

The Catherine J Kilbourn has been issued the NPI (National Provider Identifier) 1023179967 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Catherine J Kilbourn?

The Catherine J Kilbourn is situated at 900 Main St, in the city of Peoria, state of IL, with the zip code 616021005.

What is the Catherine J Kilbourn's specialty and taxonomy code?

The Catherine J Kilbourn's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did Catherine J Kilbourn receive its 1023179967 assignment from the Centers for Medicare & Medicaid Services?

The Catherine J Kilbourn was assigned its 1023179967 on 2006-12-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Catherine J Kilbourn most recently updated or revised?

The information pertaining to Catherine J Kilbourn, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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