Individual
MS. CAROLYN ANN CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNM
Contact information
Practice address
2321 N WISCONSIN AVE, PEORIA, IL 61603-5613
(309) 680-7600
(309) 681-8443
Mailing address
2214 N UNIVERSITY ST, PEORIA, IL 61604-3221
(309) 680-7600
(309) 681-8443
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.010720
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5433001
—
IL
Enumeration date
11/05/2013
Last updated
07/21/2022
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