Healthcare Provider Details

I. General information

NPI: 1760391668
Provider Name (Legal Business Name): ASHTON WEBSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 CARRINGTON CT APT A
GLEN CARBON IL
62034-2991
US

IV. Provider business mailing address

112 CARRINGTON CT APT A
GLEN CARBON IL
62034-2991
US

V. Phone/Fax

Practice location:
  • Phone: 618-339-0300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: