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
—
—
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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