Individual
SUSAN SPHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5114 N GLEN PARK PLACE RD, SUITE 220, PEORIA, IL 61614-4686
(309) 692-2025
(309) 621-4646
Mailing address
8600 N. ROUTE 91, SUITE 330, PEORIA, IL 61615
(309) 692-2025
(309) 621-4646
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
209001042APN
IL
Other
Enumeration date
01/19/2006
Last updated
10/17/2012
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