Individual
MS. DEBORA A BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-FPA, CNM
Contact information
Practice address
40826 N RIDGE CIR, ANTIOCH, IL 60002-9545
(847) 975-7115
(888) 959-0674
Mailing address
40826 N RIDGE CIR, ANTIOCH, IL 60002-9545
(847) 975-7115
(888) 959-0674
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.349335
IL
367A00000X
Advanced Practice Midwife
209007144
IL
367A00000X
Advanced Practice Midwife
Primary
277000293
IL
Other
Enumeration date
07/19/2008
Last updated
09/30/2023
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