Provider Demographics
NPI:1104187608
Name:PASCHKE, MARTHA (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:
Last Name:PASCHKE
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-1216
Mailing Address - Country:US
Mailing Address - Phone:633-232-4075
Mailing Address - Fax:
Practice Address - Street 1:227 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-1216
Practice Address - Country:US
Practice Address - Phone:630-232-4075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula