Individual
HELEN L MOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM-MS
Contact information
Practice address
520 N 4TH ST, SPRINGFIELD, IL 62702-5238
(217) 545-8000
(217) 747-1351
Mailing address
PO BOX 19670, SPRINGFIELD, IL 62794-9670
(217) 545-8000
(217) 747-1351
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209-001118
IL
Other
Enumeration date
10/18/2005
Last updated
12/08/2020
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