| NPI | 1720306491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA A BOUCHER President 847-975-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209007144) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2021-10-25 |