Easter, Kathleen

Easter, Kathleen is an individual health care provider with primary practice located at 602 W. University Avenue Ob/Gyn, Urbana IL 81801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Easter, Kathleen can be contacted via phone (217) 383-3140.

Contact Information

Primary practice address
602 W. University Avenue Ob/Gyn Urbana IL 81801
Fax: (217) 383-4966
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209002065 Illinois

Profile Details

NPI number 1912005562
LBN Legal business name Easter, Kathleen
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 5th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912005562 NPPES
Illinois MEDICAID 6447860011

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