MEDICARE: ASHLEE L MCKEAN APRN-CNM

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	367A00000X	Advanced Practice Midwife	209.035019	IL

General Provider Information

NPI Number	:	1801748983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEE L MCKEAN APRN-CNM

Provider Business Mailing Address
First Line	:	5609 E ROCKTON RD
Second Line	:
City	:	ROSCOE
State	:	IL
Zip	:	61073-7601
Country	:	US
Telephone Number	:	815-525-4730
Fax Number	:

Provider Business Practice Location Address
First Line	:	5609 E ROCKTON RD
Second Line	:
City	:	ROSCOE
State	:	IL
Zip	:	61073-7601
Country	:	US
Telephone Number	:	815-525-4730
Fax Number	:

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

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	03/16/2026

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