Individual
ALICIA ANNE HUNTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2400 ROCKTON AVE, ROCKFORD, IL 61103
(815) 971-2000
Mailing address
5970 CHURCH VIEW DR, ROCKFORD, IL 61107
(815) 971-2000
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
0480242301
NH
176B00000X
Midwife
Primary
209.006236
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3034137
—
IL
Enumeration date
08/31/2006
Last updated
03/16/2010
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