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Organization

BIRTH CENTER OF CHICAGO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LAURA WIEGAND (ADMINISTRATOR)
(309) 361-9199
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
261QB0400X
Birthing Clinic/Center
Primary

Other

Enumeration date
10/05/2020
Last updated
03/18/2021
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