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Contact Information

A WOMAN'S CONNECTION OF LASALLE-PERU P.C.
2220 MARQUETTE RD
PERU, IL61354-1538
 Phone: 815-220-0260
 Fax: 815-220-8253
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for A WOMANS CONNECTION OF LASALLE PERU PC · (Female)

NPI Number 1760603294
Status Active
Credentials
Entity Individual
Enumeration date 05/01/2007
Last updated 04/02/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Medicaid 326404425001
  • IL Other 05032022 BLUE CROSS BLUE SHIELD
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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