MEDICARE: NOEL DUSING CPM

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
1	176B00000X	Midwife

General Provider Information

NPI Number	:	1891678678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOEL DUSING CPM

Provider Business Mailing Address
First Line	:	2442 W WEST GROVE RD
Second Line	:
City	:	MOUNT MORRIS
State	:	IL
Zip	:	61054-9626
Country	:	US
Telephone Number	:	815-520-7485
Fax Number	:

Provider Business Practice Location Address
First Line	:	2442 W WEST GROVE RD
Second Line	:
City	:	MOUNT MORRIS
State	:	IL
Zip	:	61054-9626
Country	:	US
Telephone Number	:	815-520-7485
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	07/29/2025

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