Healthcare Provider Details

I. General information

NPI: 1194620344
Provider Name (Legal Business Name): PATRICIA RENEE UHL DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 ROCK RD
AMBOY IL
61310-9549
US

IV. Provider business mailing address

1155 ROCK RD
AMBOY IL
61310-9549
US

V. Phone/Fax

Practice location:
  • Phone: 815-739-2078
  • Fax: 815-406-0697
Mailing address:
  • Phone: 815-739-2078
  • Fax: 815-406-0697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: