Active NPI
Burr Ridge Birth Center, LLC
- Advanced Practice Midwife
- Burr Ridge, IL
National Provider Identifier
1447830997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Legal business name
- BURR RIDGE BIRTH CENTER, LLC
- Practice address
- 7000 S County Line Rd
Burr Ridge, IL 60527-6973 - Phone
- (630) 793-2676
- Fax
- (630) 793-2677
- NPI assigned
- Apr 9, 2021
- Last updated
- Apr 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Laura Wiegand
- Title
- Administrator
- Phone
- (630) 793-2676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | NU | Primary |
Addresses
Primary practice location
7000 S County Line Rd
Burr Ridge, IL 60527-6973
Mailing address
7000 S County Line Rd
Burr Ridge, IL 60527-6973
Phone (630) 793-2676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | IL |
Other names 1
- Burr Ridge Birth Center, LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@burrridgebirthcenter.com | Direct |
National Provider Directory
National Provider DirectoryLocations
7000 S County Line Rd
Burr Ridge, IL 60527
Phone (630) 793-2676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617926400000",
"number": "1447830997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 S COUNTY LINE RD",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276973",
"telephone_number": "630-793-2676",
"fax_number": "630-793-2677"
},
{
"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",
"fax_number": "630-793-2677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURR RIDGE BIRTH CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-09",
"last_updated": "2021-04-09",
"certification_date": "2021-03-18",
"status": "A",
"authorized_official_last_name": "WIEGAND",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "630-793-2676",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@burrridgebirthcenter.com",
"affiliation": "N",
"endpointDescription": "Birth Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "7000 S County Line Rd",
"city": "Burr Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "605276973",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Burr Ridge Birth Center, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.