| Tracey Ann Antle, CNM | |
|
920 West St, Bldg B, Peru, IL 61354-2763 | |
| (815) 223-2944 | |
| (815) 223-4095 |
| Full Name | Tracey Ann Antle |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 920 West St, Peru, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598981193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209-0043370 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Ann Antle, CNM 1305 6th St, Peru, IL 61354-2759 Ph: (815) 780-5029 | Tracey Ann Antle, CNM 920 West St, Bldg B, Peru, IL 61354-2763 Ph: (815) 223-2944 |
Mrs. Elizabeth Sue Jennings-porter, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2220 Marquette Rd, Peru, IL 61354 Phone: 815-220-0260 Fax: 815-220-8253 | |
Heather Lynn Miller, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1305 6th St, Peru, IL 61354 Phone: 815-223-2944 Fax: 815-223-2407 | |
Eryn Analise Goetze, DNP, APRN-CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 920 West St, Peru, IL 61354 Phone: 815-431-0435 | |
Pamela M Koehler, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 920 West St, Bldg B, Peru, IL 61354 Phone: 815-223-2944 Fax: 815-223-4095 |