Individual
KAREN R BOETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, RN, MSN
Contact information
Practice address
6550 BROADCAST PARKWAY, LOVES PARK, IL 61111
(847) 710-1325
Mailing address
6550 BROADCAST PKWY, LOVES PARK, IL 61111-8671
(847) 710-1325
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209-002811
IL
Other
Enumeration date
04/24/2006
Last updated
07/05/2011
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