IndividualActive
Katherine Widerborg, MD
NPI 1588757579 · Surgery Physician · Normal, IL
Katherine Widerborg, MD is a Surgery Physician provider in Normal, IL (NPI 1588757579).
Provider details
- NPI number
- 1588757579
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036-068927 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1537 Fort Jesse Rd
Suite a
Normal, IL 61761
Phone: (309) 808-0122
Fax: (309) 808-0552
Street-level locationGet directions
Mailing address
1505 Eastland Dr
Bloomington, IL 61701-3534
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2013-03-12
Frequently asked questions
- What is Katherine Widerborg's NPI number?
- Katherine Widerborg's National Provider Identifier (NPI) is 1588757579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katherine Widerborg's specialty?
- Katherine Widerborg is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Katherine Widerborg located?
- Katherine Widerborg's practice location on file with NPPES is 1537 Fort Jesse Rd, Normal, IL 61761.
- What is Katherine Widerborg's phone number?
- The practice phone number listed in the NPPES registry for Katherine Widerborg is (309) 808-0122.
- Is Katherine Widerborg's NPI active?
- Yes — Katherine Widerborg's NPI (1588757579) is active in the NPPES registry as of the last update on 2013-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.