Individual
MRS. JILL MARIE RACKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
606 SWIGART ST, CHAMPAIGN, IL 61821-2728
(217) 840-8619
Mailing address
606 SWIGART ST, CHAMPAIGN, IL 61821-2728
(217) 840-8619
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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