Provider / Organization | NPI | Date Certified |
---|---|---|
KATHERINE EVERY MATULLE | 1851971170 | 2023-12-05 |
Katherine Every Matulle is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1851971170. Registration indicates Katherine Every Matulle is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Katherine Every Matulle DO |
Practice Office Address | 815 MAIN ST STE C PEORIA, IL US |
Practice Office Telephone | 3096724977 |
Mailing Address | 815 MAIN ST STE C PEORIA, IL 616021080 US |
Business Telephone | 3096724977 |
Code | Practice | License No State |
---|---|---|
207Q00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 036167477
IL |
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |