Rashidah Abdullah, CNM, RN, CBC, CLC

Individual provider Active NPI Advanced Practice Midwife · Chicago, IL

NPI 1043774763 · NPPES record last updated Jan 28, 2019

Key facts

NPI
1043774763
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
209001301 (IL)
Practice address
1536 N Laramie Ave
Chicago, IL 60651-1407
Phone
(708) 359-9951
NPI assigned
Jan 27, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
554007243INMDRegistered Nurse
041259265ILMDLactation Consultant (Registered Nurse)
209001301ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mother'S Druthers Lactation Consultant Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041259265 IL
Registered Nurse 163W00000X 554007243 IN
Lactation Consultant (Registered Nurse) 163WL0100X 041259265 IL
Doula 374J00000X
Advanced Practice Midwife 367A00000X 209001301 IL Yes

Addresses

Primary practice location

1536 N Laramie Ave
Chicago, IL 60651-1407

Mailing address

1536 N Laramie Ave
Chicago, IL 60651-1407
Phone (708) 359-9951

Other providers in Chicago, IL

All providers in Chicago, IL · Advanced Practice Midwife in Illinois

Sources for this page

Verify at the official NPI Registry.