Individual
MRS. JANE ELIZABETH SUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209005288
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209005288
CERTIFIED NURSE MIDWIFE L
IL
Enumeration date
11/01/2006
Last updated
07/08/2007
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