Individual
BERNICE M KEUTZER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
32169 - 2050 N AVE, ARLINGTON, IL 61312
(815) 894-2507
Mailing address
32169 - 2050 N AVE, ARLINGTON, IL 61312
(815) 894-2507
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0632006
BLUECROSS BLUE SHIELD
IL
Enumeration date
05/27/2005
Last updated
07/08/2007
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