Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILA MAE MINNICK
Active Sole ProprietorILA MAE MINNICK is a Advance Practice Midwife healthcare provider located in CALEDONIA, Illinois. NPI 1134240989 is currently active in the NPPES registry. Verify at CMS.
Advance Practice Midwife · CALEDONIA, IL
Registration Details
- NPI Number
- 1134240989
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2007 (19.397005221343 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
7604 BRIDLEWOOD RDCALEDONIA, IL, 610119013Browse IL providers · Browse ZIP 61011
- Phone
- 8158851195
- Primary Specialty
-
Advance Practice Midwife
163WA2000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.