Organization Active NPI

Chicago Birthworks Collective

  • Doula
  • Chicago, IL
National Provider Identifier
1912629627
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
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

Updated by the provider on Sep 19, 2022

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)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174N00000X
DoulaGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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": []
}

Other providers in Chicago, IL

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.

Verify at the official NPI Registry.