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NPI Code Detail

MEDICARE: HEATHER BETHUNE DOULA

MEDICARE: HEATHER BETHUNE DOULA
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
1374J00000XDoula

General Provider Information

NPI Number : 1396608378
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER BETHUNE DOULA
Provider Business Mailing Address
First Line : 5546 N LAKEWOOD AVE UNIT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60640-1313
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1950 W ROSCOE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60657-1030
Country : US
Telephone Number : 513-227-3272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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Directions to “ HEATHER BETHUNE DOULA” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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