Ms Debora A Boucher, APRN-FPA, CNM is a
Advanced Practice Midwife based in Antioch, Illinois. Ms Debora A Boucher is licensed to practice in Illinois (license number 277000293) and her current practice location is
40826 N Ridge Cir, Antioch, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 975-7115.
NPI number for Ms Debora A Boucher is 1710142799 and her current mailing address is 40826 N Ridge Cir, Antioch, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710142799.
Provider's Profile
Full Name | Ms Debora A Boucher |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 40826 N Ridge Cir, Antioch, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710142799
- Provider Enumeration Date: 07/19/2008
- Last Update Date: 09/30/2023
Medical Identifiers
Medical identifiers for Ms Debora A Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710142799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041.349335 (Illinois) | Secondary |
367A00000X | Advanced Practice Midwife | 209007144 (Illinois) | Secondary |
367A00000X | Advanced Practice Midwife | 277000293 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Debora A Boucher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Debora A Boucher, APRN-FPA, CNM 40826 N Ridge Cir, Antioch, IL 60002-9545 Ph: (847) 975-7115 | Ms Debora A Boucher, APRN-FPA, CNM 40826 N Ridge Cir, Antioch, IL 60002-9545 Ph: (847) 975-7115 |
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