# BIRTH CENTER OF CHICAGO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Birth Center of Chicago, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922684232
- **Authorized official:** MRS. LAURA WIEGAND (ADMINISTRATOR)
- **Authorized official phone:** (773) 232-2293

## Contact information

- **Practice address:** 3832 N LINCOLN AVE, CHICAGO, IL 60613-3520
- **Practice address phone:** (773) 232-2293
- **Practice address fax:** (773) 232-2299
- **Mailing address:** 3832 N LINCOLN AVE, CHICAGO, IL 60613-3520
- **Mailing address phone:** (773) 232-2293
- **Mailing address fax:** (773) 232-2299

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2021
- **Last updated:** 03/28/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PENDING | — | IL |