Individual
MALORY REBEKAH TEEGARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
812 S VENNUM ST, EUREKA, IL 61530-1554
(309) 712-1701
Mailing address
812 S VENNUM ST, EUREKA, IL 61530-1554
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
295.001290
IL
176B00000X
Midwife
Primary
—
IL
Other
Enumeration date
04/22/2019
Last updated
02/20/2026
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