| Heather Lynn Miller, CNM | |
|
1305 6th St, Peru, IL 61354-2759 | |
| (815) 223-2944 | |
| (815) 223-2407 |
| Full Name | Heather Lynn Miller |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1305 6th St, Peru, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306273685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209.010642 (Illinois) | Primary |
| Entity Name | OSF Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Lynn Miller, CNM 1305 6th St, Peru, IL 61354-2759 Ph: (815) 223-2944 | Heather Lynn Miller, CNM 1305 6th St, Peru, IL 61354-2759 Ph: (815) 223-2944 |
Mrs. Elizabeth Sue Jennings-porter, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2220 Marquette Rd, Peru, IL 61354 Phone: 815-220-0260 Fax: 815-220-8253 |
Eryn Analise Goetze, DNP, APRN-CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 920 West St, Peru, IL 61354 Phone: 815-431-0435 |
Tracey Ann Antle, C.N.M Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 920 West St, Bldg B, Peru, IL 61354 Phone: 815-223-2944 Fax: 815-223-4095 |
Pamela M Koehler, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 920 West St, Bldg B, Peru, IL 61354 Phone: 815-223-2944 Fax: 815-223-4095 |