Search › Illinois › 367A00000X
Erin Etheridge-Bagley, CNM
NPI 1417340530 · on the registry since 2015 · sole proprietor
Practice
- Address
- 900 E Walnut St Ste 10
Carbondale, IL 62901 - Phone
- (618) 997-5266
- Organisation at this address
- Prorehab Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Additional practice sites
- 11924 Forest Hill Blvd # 10a-243, Wellington, FL
- 845 Palm Beach Rd, South Bay, FL
- 3400 Burns Rd Ste 200, Palm Beach Gardens, FL
- 3408 Office Park Dr, Marion, IL
Registry record
- Primary taxonomy
- 367A00000X
367A00000X
- Also registered as
- 367A00000X
- Licence states on file
- FL, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois