# MY MINDFUL BIRTH SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912423856
- **Authorized official:** ISABELLE GUILLOU APRN-FPA, CNM (OWNER, CERTIFIED NURSE MIDWIFE)
- **Authorized official phone:** (630) 230-4577

## Contact information

- **Practice address:** 626 E OGDEN AVE, NAPERVILLE, IL 60563-3237
- **Practice address phone:** (630) 230-4577
- **Practice address fax:** (630) 230-4552
- **Mailing address:** 17W681 CONCORD PL, DARIEN, IL 60561-5124
- **Mailing address phone:** (630) 230-4577
- **Mailing address fax:** (630) 383-7224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | 209-008297 | IL | — |

## Other

- **Enumeration date:** 08/22/2017
- **Last updated:** 12/14/2021