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KATHERINE WIDERBORG, M.D.
NPI 1720377690
Surgery in Normal, IL

Active since March 31, 2011
1537 FORT JESSE RD, SUITE A, NORMAL, IL 61761(309) 808-0122(309) 808-0522 Get Directions Write a Review

NPPES record last updated: March 31, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Katherine Widerborg, M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE WIDERBORG, M.D. (NPI 1720377690) is a healthcare organization registered as a surgery in Normal, Illinois and active in the NPI registry since March 2011. The organization lists John Hesse, Executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1720377690
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePREMIER MEDICAL GROUP, LLC
Location Address1537 FORT JESSE RD, SUITE ANormal, IL 61761-6192
Mailing Address1537 Fort Jesse Rd, Suite ANormal, IL 61761-6192 · (309) 808-0122 · Fax (309) 808-0522
Phone(309) 808-0122
Fax(309) 808-0522
Organization SubpartNo
Authorized OfficialJohn HesseExecutive Administrator · (309) 662-6200
Enumeration DateMarch 31, 2011
✔ NPI 1720377690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 36-068927
Definition
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.
1537 FORT JESSE RD, Normal, IL 61761
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Other Names 1

Doing Business AsKatherine Widerborg, M.d.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE ANNE WIDERBORG MD
Surgery
1537 FORT JESSE RD, SUITE A
NORMAL, IL 61761
McLean County (309) 808-0122
DR. KATHERINE WIDERBORG M.D., F.A.C.S., P.C.
Surgery
1537 FORT JESSE RD, SUITE A
NORMAL, IL 61761
McLean County (309) 808-0122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Medical Group, LLC's NPI number?

The NPI number for Premier Medical Group, LLC is 1720377690. It was assigned to this organization in the NPPES registry on March 31, 2011. The provider is doing business as Katherine Widerborg, M.D..

Where is Premier Medical Group, LLC located?

Premier Medical Group, LLC is located at 1537 Fort Jesse Rd Suite A, Normal, IL 61761. The listed phone number is (309) 808-0122.

What is Premier Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Premier Medical Group, LLC was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.