Active NPI
My Mindful Birth SC
- Clinic/Center
- Naperville, IL
National Provider Identifier
1912423856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MY MINDFUL BIRTH SC
- Practice address
- 626 E Ogden Ave
Naperville, IL 60563-3237 - Phone
- (630) 230-4577
- Fax
- (630) 230-4552
- NPI assigned
- Aug 22, 2017
- 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
- Isabelle Guillou, APRN-FPA, CNM
- Title
- Owner, Certified Nurse Midwife
- Phone
- (630) 230-4577
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Advanced Practice Midwife | 367A00000X | 209-008297 | IL |
Addresses
Primary practice location
626 E Ogden Ave
Naperville, IL 60563-3237
Mailing address
17W681 Concord PL
Darien, IL 60561-5124
Phone (630) 230-4577
National Provider Directory
National Provider DirectoryLocations
225 W Jefferson Ave
Ste 104
Naperville, IL 60540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639440000000",
"number": "1912423856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17W681 CONCORD PL",
"city": "DARIEN",
"state": "IL",
"postal_code": "605615124",
"telephone_number": "630-230-4577",
"fax_number": "630-383-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 E OGDEN AVE",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605633237",
"telephone_number": "630-230-4577",
"fax_number": "630-230-4552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY MINDFUL BIRTH SC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-22",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A",
"authorized_official_last_name": "GUILLOU",
"authorized_official_first_name": "ISABELLE",
"authorized_official_title_or_position": "OWNER, CERTIFIED NURSE MIDWIFE",
"authorized_official_telephone_number": "630-230-4577",
"authorized_official_credential": "APRN-FPA, CNM"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209-008297",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.