Individual
ANNETTE R PAYOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6201 ROOSEVELT RD, BERWYN, IL 60402-1108
(708) 386-0845
(708) 386-8472
Mailing address
6201 ROOSEVELT RD, BERWYN, IL 60402-1108
(708) 386-0845
(708) 386-8472
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209006749
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS GROUP
IL
01
—
041345892
MSN
IL
01
—
209006749
ILLINOIS LICENSE
IL
Enumeration date
10/03/2007
Last updated
12/26/2019
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