Individual
MARY S MATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5970 CHURCHVIEW DR, ROCKFORD, IL 61107-2574
(815) 971-2000
Mailing address
5970 CHURCHVIEW DR, ROCKFORD, IL 61107-2574
(815) 971-2000
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
IL
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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