| NPI | 1164877114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL JOY HARRIS Business Manager 815-269-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209.013675) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |