| Birth Center Of Chicago, Llc | |
|
3832 N Lincoln Ave Chicago IL 60613-3520 | |
| (773) 232-2293 | |
| (773) 232-2299 |
| Full Name | Birth Center Of Chicago, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3832 N Lincoln Ave, Chicago, Illinois |
| Authorized Official Name and Position | Laura Wiegand (ADMINISTRATOR) |
| Authorized Official Contact | 7732322293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birth Center Of Chicago, Llc 3832 N Lincoln Ave Chicago IL 60613-3520 Ph: (773) 232-2293 | Birth Center Of Chicago, Llc 3832 N Lincoln Ave Chicago IL 60613-3520 Ph: (773) 232-2293 |
| NPI Number | 1922684232 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922684232 | NPI | - | NPPES |
| PENDING | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Secondary |
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