KATHERINE ANNE WIDERBORG (MD) – Surgery Physician, NPI 1588757579

KATHERINE ANNE WIDERBORG (MD) is a healthcare provider. based in Bloomington, Illinois. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 036-068927 (IL). The NPI Number for KATHERINE ANNE WIDERBORG (MD) is 1588757579

Main info

Female
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE ANNE WIDERBORG (MD)
NPI
1588757579
Phone
(309) 662-9022
Address
1505 EASTLAND DR
Enumeration Date
2 October 2006
Last Update Date
12 March 2013

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
3096629022
Graduation Year
1982 (44 years ago)
PAC ID
6901952407
Group Practice PAC ID
3870680150
Professional Enrollment ID
I20090925000026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KATHERINE ANNE WIDERBORG (MD)

  • 1505, Eastland Drive, Bloomington, McLean County, Illinois, 61704, United States

    SUITE 2300

    BLOOMINGTON, IL 617013534

    Phone: (309) 662-9022

    Fax: (309) 662-2091

    Type: Mailing

  • 1537, Fort Jesse Road, Stoneybrook Condominiums, Normal, McLean County, Illinois, 61761, United States

    SUITE A

    NORMAL, IL 61761

    Phone: (309) 808-0122

    Fax: (309) 808-0552

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61701)

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Reviews

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Frequently asked questions

How do payers reference KATHERINE ANNE WIDERBORG (MD)?
For KATHERINE ANNE WIDERBORG (MD), use NPI 1588757579 as the unique 10-digit identifier.
Is KATHERINE ANNE WIDERBORG (MD) still an active registrant?
KATHERINE ANNE WIDERBORG (MD) carries an active NPI according to the public dataset.
What kind of doctor is KATHERINE ANNE WIDERBORG (MD)?
KATHERINE ANNE WIDERBORG (MD) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KATHERINE ANNE WIDERBORG (MD)?
Travel planning: use Bloomington, Illinois as the reference point for KATHERINE ANNE WIDERBORG (MD), then confirm.
Does KATHERINE ANNE WIDERBORG (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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