Dr. Katherine Widerborg M.D., F.a.c.s., P.C.
NPI 1699906966 · Surgery Physician · Normal, IL
Dr. Katherine Widerborg M.D., F.a.c.s., P.C. is a Surgery Physician organization in Normal, IL (NPI 1699906966).
Provider details
- NPI number
- 1699906966
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Katherine Widerborg, Owner(309) 212-2002
- License
- 036-068927 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2009-08-04
- Last updated
- 2009-09-21
Frequently asked questions
- What is Dr. Katherine Widerborg M.D., F.a.c.s., P.C.'s NPI number?
- Dr. Katherine Widerborg M.D., F.a.c.s., P.C.'s National Provider Identifier (NPI) is 1699906966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Katherine Widerborg M.D., F.a.c.s., P.C.?
- Dr. Katherine Widerborg M.D., F.a.c.s., P.C. is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Dr. Katherine Widerborg M.D., F.a.c.s., P.C. located?
- Dr. Katherine Widerborg M.D., F.a.c.s., P.C.'s practice location on file with NPPES is 1537 Fort Jesse Rd, Normal, IL 61761-6192.
- What is Dr. Katherine Widerborg M.D., F.a.c.s., P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Dr. Katherine Widerborg M.D., F.a.c.s., P.C. is (309) 808-0122.
- Who is the authorized official for Dr. Katherine Widerborg M.D., F.a.c.s., P.C.?
- The authorized official listed on Dr. Katherine Widerborg M.D., F.a.c.s., P.C.'s NPPES record is Katherine Widerborg, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Katherine Widerborg M.D., F.a.c.s., P.C.'s NPI active?
- Yes — Dr. Katherine Widerborg M.D., F.a.c.s., P.C.'s NPI (1699906966) is active in the NPPES registry as of the last update on 2009-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.