Individual
ANN LUISE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1310 N MAIN ST, SUITE 209, SANDWICH, IL 60548-1394
(815) 786-1967
(815) 786-1806
Mailing address
1310 N MAIN ST, SUITE 209, SANDWICH, IL 60548-1394
(815) 786-1967
(815) 786-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2722
WI
207VX0000X
Obstetrics Physician
Primary
036072751
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072751
—
IL
Enumeration date
07/20/2006
Last updated
05/03/2024
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