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Contact Information

TRACEY A ANTLE, C.N.M
920 WEST ST
BLDG B
PERU, IL61354-2763
 Phone: 815-223-2944
 Fax: 815-223-4095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for TRACEY A ANTLE · (Female)

NPI Number 1598981193
Status Active
Credentials C.N.M
Entity Individual
Enumeration date 04/18/2007
Last updated 07/26/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209-0043370
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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