Individual
MS. NICOLE S. NETTGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
375 N WALL ST, SUITE P630, KANKAKEE, IL 60901-3483
(815) 933-4510
(815) 933-4259
Mailing address
1007 LARK LN, SHOREWOOD, IL 60404-9649
(815) 933-4510
(815) 933-4259
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209-003302
IL
Other
Enumeration date
03/13/2007
Last updated
02/21/2017
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