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Contact Information

DEBORA A BOUCHER, APRN-FPA, CNM
40826 N RIDGE CIR
ANTIOCH, IL60002-9545
 Phone: 847-975-7115
 Fax: 888-959-0674
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for DEBORA A BOUCHER · (Female)

NPI Number 1710142799
Status Active
Credentials APRN-FPA, CNM
Entity Individual
Enumeration date 07/19/2008
Last updated 09/30/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 041.349335
  • IL License # 209007144
  • IL License # 277000293
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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