| NPI | 1760603294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SUE JENNINGS-PORTER Cnm President 815-220-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209-000734) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-04-02 |