Active NPI
Chicago Birthworks Collective
- Doula
- Chicago, IL
National Provider Identifier
1912629627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- CHICAGO BIRTHWORKS COLLECTIVE
- Practice address
- 1603 E 55TH St
Chicago, IL 60615-6155 - Phone
- (773) 675-4290
- NPI assigned
- Sep 19, 2022
- 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
- Tayo Mbande
- Title
- Ceo/Co-Founder
- Phone
- (323) 253-2785
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
1603 E 55TH St
Chicago, IL 60615-6155
Mailing address
1603 E 55TH St
Chicago, IL 60615-6155
Phone (773) 675-4290
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663545600000",
"number": "1912629627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 E 55TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606156155",
"telephone_number": "773-675-4290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 E 55TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606156155",
"telephone_number": "773-675-4290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO BIRTHWORKS COLLECTIVE",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A",
"authorized_official_last_name": "MBANDE",
"authorized_official_first_name": "TAYO",
"authorized_official_title_or_position": "CEO/CO-FOUNDER",
"authorized_official_telephone_number": "323-253-2785"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.