Grace Miyoko Sells, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

209.029765 Issued in IL

Practice address

7000 S County Line Rd
Burr Ridge, IL 60527-6973

Phone

(630) 793-2676

NPI assigned

Apr 15, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Burr Ridge Birth Center, LLC

  • Birthing Clinic/Center
  • Burr Ridge, IL
  • NPI 1952908790
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1336993567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 N DAYTON ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146662",
            "telephone_number": "408-348-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 S COUNTY LINE RD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276973",
            "telephone_number": "630-793-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLS",
        "first_name": "GRACE",
        "middle_name": "MIYOKO",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209.029765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce D Schreider, MD
• Jeffrey Schrier, PHARM.D.
• Ann Clark Schulz, LCSW
• Louise A Sclafani, OD
• Souhanda Sefin, PHARMD
• Carol E Semrad, MD
• Jasveen Sethi, DDS
• Chirag Shah, DC
• Deval Shah, DDS
• Subhash K Shah, M.D.

• Advanced Practice Midwife in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Advanced Practice Midwife in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.