Individual
BETH A KILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
900 N 1ST ST, SPRINGFIELD, IL 62702-3749
(217) 528-7541
(217) 535-3665
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
209-003871
IL
367A00000X
Advanced Practice Midwife
Primary
277002291
IL
Other
Enumeration date
10/05/2006
Last updated
11/29/2022
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