Organization
BURR RIDGE BIRTH CENTER, LLC
Active
Other names
Burr Ridge Birth Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA WIEGAND (ADMINISTRATOR)
(630) 793-2676
Entity
Organization
Contact information
Practice address
7000 S COUNTY LINE RD, BURR RIDGE, IL 60527-6973
(630) 793-2676
(630) 793-2677
Mailing address
7000 S COUNTY LINE RD, BURR RIDGE, IL 60527-6973
(630) 793-2676
(630) 793-2677
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IL
Enumeration date
04/09/2021
Last updated
04/09/2021
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