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NPI Code Detail

MEDICARE: MRS. PAMELA BEHNKE C.N.M

MEDICARE:  MRS. PAMELA  BEHNKE  C.N.M
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 Midwife209-001804IL

General Provider Information

NPI Number : 1811957814
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA BEHNKE C.N.M
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1529
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 3000 N HALSTED ST STE 309
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5190
Country : US
Telephone Number : 773-296-3300
Fax Number : 773-296-3304
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 04/26/2023

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Directions to “ MRS. PAMELA BEHNKE C.N.M” Practice Location

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