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NPI Code Detail

MEDICARE: FRANCES LOCKE-ROSENBERG CNM

MEDICARE: FRANCES LOCKE-ROSENBERG CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife209-005147IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1209-005147OTHERILAPN LICENSE
2041-307266OTHERILRN LICENSE

General Provider Information

NPI Number : 1588614218
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES LOCKE-ROSENBERG CNM
Provider Business Mailing Address
First Line : 600 W FULTON ST
Second Line : SUITE 200
City : CHICAGO
State : IL
Zip : 60661-1259
Country : US
Telephone Number : 312-526-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1555 W HOWARD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60626-1707
Country : US
Telephone Number : 773-764-7146
Fax Number : 773-764-3774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 05/14/2012

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Directions to “ FRANCES LOCKE-ROSENBERG CNM” Practice Location

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