| Jennifer Feder, CNM | |
| 
					1414 Cross St Ste 240, Shiloh, IL 62269-2988  | |
| (618) 234-2390 | |
| Not Available | 
| Full Name | Jennifer Feder | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 1414 Cross St Ste 240, Shiloh, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669109971 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209026378 (Illinois) | Primary | 
| Entity Name | Fairview Heights Medical Group Sc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jennifer Feder, CNM 1414 Cross St Ste 240, Shiloh, IL 62269-2988 Ph: (618) 234-2390  | Jennifer Feder, CNM 1414 Cross St Ste 240, Shiloh, IL 62269-2988 Ph: (618) 234-2390  | 
Christina Marie Zagorski, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1414 Cross St Ste 240, Shiloh, IL 62269 Phone: 618-607-3800  | |
Aimee Elise White,  Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1197 Fortune Blvd Ste 1, Shiloh, IL 62269 Phone: 618-997-5266  | |
Blake William Ferry,  Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1170 Fortune Blvd, Shiloh, IL 62269 Phone: 618-997-5266  | |
Tommi Amanda Ladd Carrell,  Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1197 Fortune Blvd Ste 1, Shiloh, IL 62269 Phone: 618-997-5266  |