Provider Demographics
NPI:1851140776
Name:SEAMAN, CATHERINE LUCILLE
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LUCILLE
Last Name:SEAMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 PENN ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62223-3912
Mailing Address - Country:US
Mailing Address - Phone:618-791-5520
Mailing Address - Fax:
Practice Address - Street 1:2900 FRANK SCOTT PKWY W STE 930
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62223-5010
Practice Address - Country:US
Practice Address - Phone:618-567-9929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1600003960208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation