Individual
MRS. KIM S WHEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
844 N 11TH ST, DEKALB, IL 60115-2514
(815) 766-2356
Mailing address
844 N 11TH ST, DEKALB, IL 60115-2514
(815) 766-2356
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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