Individual
JULIE RENEE LUDLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2709 BROADWAY ST, PEKIN, IL 61554-2676
(309) 680-7600
(309) 353-3334
Mailing address
2214 N UNIVERSITY ST, PEORIA, IL 61604-3221
(309) 680-7669
(309) 681-8443
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
041281867
IL
367A00000X
Advanced Practice Midwife
Primary
209018051
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041281867
IL RN LICENSE
IL
Enumeration date
08/01/2018
Last updated
09/27/2018
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