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Individual

MS. LETA MARIE VEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.M.

Contact information

Practice address
1051 W RAND RD STE 101, ARLINGTON HEIGHTS, IL 60004-2315
(847) 221-4900
(847) 221-4996
Mailing address
1051 W RAND RD STE 101, ARLINGTON HEIGHTS, IL 60004-2315
(847) 221-4900
(847) 221-4996

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
209005087
IL
367A00000X
Advanced Practice Midwife
277-000461
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209005087
STATE LICENSE
IL
Enumeration date
03/24/2006
Last updated
06/06/2022
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