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Individual

LARISA SAVAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN, CNM

Contact information

Practice address
19 OLT AVE, PEKIN, IL 61554-6214
(309) 680-7600
(309) 353-3334
Mailing address
2214 N UNIVERSITY ST, PEORIA, IL 61604-3221
(309) 495-8644
(309) 681-8443

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041467219
IL
367A00000X
Advanced Practice Midwife
Primary
209025530
IL

Other

Enumeration date
07/11/2022
Last updated
09/15/2023
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