TRACEY ANN ANTLE

PERU, IL
NPI1598981193
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: IL  209-0043370)
Enumeration Date2007-04-18
Last Update Date2011-07-26
Business Address
-- TRACEY ANN ANTLE C.N.M
920 WEST ST BLDG B
PERU, IL 61354-2763
Phone number: 815-223-2944
Mailing Address
-- TRACEY ANN ANTLE C.N.M
1305 6TH ST
PERU, IL 61354-2759
Phone number: 815-780-5029
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