Rebecca Rose CNM

NPI 1174634794 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1174634794
Gender Female
Enumeration Date 08/31/2006
Last Updated 01/03/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
4119 W SHAMROCK LN
SUITE 200
MCHENRY IL, 60050-8289, US
Phone (815) 344-1611
Fax (815) 344-1614
Business Location
4119 W SHAMROCK LN
SUITE 200
MCHENRY IL, 60050-8289, US
Phone (815) 344-1611
Fax (815) 344-1614
Toxanomy
Taxonomy Code 367A00000X
License State Illinois
License Number 209002787
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According to our database, Rebecca Rose CNM NPI is 1174634794, taxonomy code is 367A00000X and license number is 209002787, license state is located at Illinois. Rebecca Rose CNM physically located at 4119 W Shamrock Ln, Mchenry IL, 60050-8289. NPI Number Rebecca Rose CNM has the Individual type.

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1174634794 NPI number is provided on an as is basis without warranty of any kind. 1174634794 is maintained by the National Plan & Provider Enumeration System. The contents of Rebecca Rose CNM are for informational purposes only.