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Advanced Practice Midwife

NPI: 1407652159IndividualAccepts Medicare

Specialties, Licenses & Credentials

Advanced Practice Midwife

Code: 367A00000X

209.031440(IL)

CMS Specialties

PrimaryCERTIFIED NURSE MIDWIFE (CNM)

Education

OTHER

Class of 2024

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Contact & Hours

Address
1170 FORTUNE BLVD
SHILOH, IL 62269

Quick Facts

NPI
1407652159
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
2

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