Individual
CARISSA M SWIATEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
611 W. PARK ST., SC4, URBANA, IL 61801-2500
(217) 383-3140
(217) 383-4966
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
041376934
IL
367A00000X
Advanced Practice Midwife
Primary
209009706
IL
Other
Enumeration date
06/28/2012
Last updated
09/01/2016
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