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Organization
BIRTH CENTER OF CHICAGO, LLC
Active
Organization
BIRTH CENTER OF CHICAGO, LLC
Active
Other names
Birth Center of Chicago, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA WIEGAND (ADMINISTRATOR)
(773) 232-2293
Entity
Organization
Contact information
Practice address
3832 N LINCOLN AVE, CHICAGO, IL 60613-3520
(773) 232-2293
(773) 232-2299
Mailing address
3832 N LINCOLN AVE, CHICAGO, IL 60613-3520
(773) 232-2293
(773) 232-2299
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IL
Enumeration date
03/18/2021
Last updated
03/28/2024
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