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Contact Information

KATHERINE A GODFREY, MD
390 E CONGRESS PKWY
SUITE J
CRYSTAL LAKE, IL60014-6202
 Phone: 815-356-5050
 Fax: 815-356-5094
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for KATHERINE A GODFREY · (Female)

NPI # 1215064365
Status Active
Credentials MD
Entity Individual
Enumeration date 02/27/2007
Last updated 12/28/2012 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-107621
  • IL License # 036107621
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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