# BURR RIDGE BIRTH CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Burr Ridge Birth Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447830997
- **Authorized official:** MRS. LAURA WIEGAND (ADMINISTRATOR)
- **Authorized official phone:** (630) 793-2676

## Contact information

- **Practice address:** 7000 S COUNTY LINE RD, BURR RIDGE, IL 60527-6973
- **Practice address phone:** (630) 793-2676
- **Practice address fax:** (630) 793-2677
- **Mailing address:** 7000 S COUNTY LINE RD, BURR RIDGE, IL 60527-6973
- **Mailing address phone:** (630) 793-2676
- **Mailing address fax:** (630) 793-2677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2021
- **Last updated:** 04/09/2021