Dr. Katherine Mae Shadid is a Peoria, Illinois based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Katherine Mae Shadid is
019.035294 for Dentistry in Illinois. Her current practice location is
843 W Glen Ave, Peoria. Patients can reach her at
309-691-9421.
Dr. Katherine Mae Shadid is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Katherine Mae Shadid speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Katherine Mae Shadid |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 843 W Glen Ave, Peoria,
Illinois, 61614-4834 |
| Phone: | 309-691-9421 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1144066747 |
| NPI Enumeration Date: | 02 Jul, 2024 |
| NPI Last Update On: | 02 Jul, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Katherine Mae Shadid are as mentioned below.
| License Number | Specialization | State | Status | |
| 019.035294 | Dentistry | Illinois | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11120 N Brookhaven Ct,
Peoria, Illinois |
| Zip: | 61615-1009 |
Patients can reach Dr. Katherine Mae Shadid at
843 W Glen Ave, Peoria, Illinois or can
call to book an appointment on 309-691-9421.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.