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Individual

AMIE EDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
611 W PARK ST, SC4, URBANA, IL 61801-2529
(217) 383-3140
(217) 383-4966
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209011420
IL

Other

Enumeration date
05/14/2014
Last updated
05/28/2014
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