MEDICARE: DR. KATHRYN MARY FRANCES MEEKER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038-010223	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	038-010223	OTHER	IL	STATE LIC
2	3732017	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1477558989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHRYN MARY FRANCES MEEKER DC

Provider Business Mailing Address
First Line	:	532 GREEN PARK AVE
Second Line	:	#6
City	:	COLONA
State	:	IL
Zip	:	61241-9633
Country	:	US
Telephone Number	:	309-796-3970
Fax Number	:	309-796-3972

Provider Business Practice Location Address
First Line	:	532 GREEN PARK AVE
Second Line	:	#6
City	:	COLONA
State	:	IL
Zip	:	61241-9633
Country	:	US
Telephone Number	:	309-796-3970
Fax Number	:	309-796-3972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	03/24/2009

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