KATHERINE A. WIDERBORG MD – NPI #1588757579
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

KATHERINE WIDERBORG is a surgeon located in NORMAL, IL. NPPES has assigned the NPI number 1588757579 to KATHERINE WIDERBORG on October 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 13 years ago on Mar 12, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KATHERINE WIDERBORG below.

NPI Profile for
KATHERINE A. WIDERBORG

NPI Number
1588757579
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KATHERINE A. WIDERBORG
Credentials
MD
Primary location
1537 FORT JESSE RD
SUITE A
NORMAL, IL 61761
Phone: (309) 808-0122 Fax: (309) 808-0552
Mailing address
1505 EASTLAND DR
SUITE 2300
BLOOMINGTON, IL 61701-3534
Phone: (309) 662-9022 Fax: (309) 662-2091
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for KATHERINE WIDERBORG

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL0360689271
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)
IL 036-068927

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.