Basic Information
Provider Information
NPI: 1649543943
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CRONE
FirstName: CATHY
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: RSA, CSFA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1604 VISA DR
Address2: STE. 2
City: NORMAL
State: IL
PostalCode: 617612195
CountryCode: US
TelephoneNumber: 3098464716
FaxNumber: 3094547348
Practice Location
Address1: 1604 VISA DR
Address2: STE. 2
City: NORMAL
State: IL
PostalCode: 617612195
CountryCode: US
TelephoneNumber: 3098464716
FaxNumber: 3094547348
Other Information
ProviderEnumerationDate: 02/16/2012
LastUpdateDate: 02/16/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
246ZS0410X238000317ILY    

No ID Information.


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