Individual
REBECCA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
721 S LEWIS LN, CARBONDALE, IL 62901-3344
(618) 670-7949
Mailing address
721 S LEWIS LN, CARBONDALE, IL 62901-3344
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
295.000031
IL
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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