Aimee Elise White, | |
1197 Fortune Blvd Ste 1, Shiloh, IL 62269-7472 | |
(618) 997-5266 | |
Not Available |
Full Name | Aimee Elise White |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1197 Fortune Blvd Ste 1, Shiloh, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184392797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Entity Name | Baptist Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
Mailing Address | Practice Location Address |
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Aimee Elise White, 3230 Veterans Memorial Dr, Mount Vernon, IL 62864-5950 Ph: () - | Aimee Elise White, 1197 Fortune Blvd Ste 1, Shiloh, IL 62269-7472 Ph: (618) 997-5266 |
Christina Marie Zagorski, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1414 Cross St Ste 240, Shiloh, IL 62269 Phone: 618-607-3800 | |
Jennifer Feder, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1414 Cross St Ste 240, Shiloh, IL 62269 Phone: 618-234-2390 | |
Tommi Amanda Ladd Carrell, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1197 Fortune Blvd Ste 1, Shiloh, IL 62269 Phone: 618-997-5266 |