MEDICARE: MS. BARBARA ANNE BELCORE-WALKDEN CPM, LM

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	:	1568761229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA ANNE BELCORE-WALKDEN CPM, LM

Provider Business Mailing Address
First Line	:	715 AUSTIN ST
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60202-3475
Country	:	US
Telephone Number	:	773-860-8359
Fax Number	:	773-453-7262

Provider Business Practice Location Address
First Line	:	715 AUSTIN ST
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60202-3475
Country	:	US
Telephone Number	:	773-860-8359
Fax Number	:	773-453-7262

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

Provider Enumeration Date	:	03/21/2011
Last Update Date	:	03/18/2024

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