Individual
KATHLEEN EASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
602 W. UNIVERSITY AVENUE, OB/GYN, URBANA, IL 81801
(217) 383-3140
(217) 383-4966
Mailing address
PO BOX 6004, URBANA, IL 61803-6004
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209002065
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6447860011
—
IL
Enumeration date
09/20/2006
Last updated
06/05/2012
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