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Organization
A WOMAN'S PLACE BIRTH AND HEALTH RESOURCES
Active
Organization
A WOMAN'S PLACE BIRTH AND HEALTH RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEWEL MAEDA CNM, APN (PRESIDENT)
(773) 472-9400
Entity
Organization
Contact information
Practice address
2803 N SOUTHPORT AVE, CHICAGO, IL 60657-4110
(773) 472-9400
Mailing address
2803 N SOUTHPORT AVE, CHICAGO, IL 60657-4110
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
NULL
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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