Active NPI
Birth Center of Chicago, LLC
- Clinic/Center
- Chicago, IL
National Provider Identifier
1922684232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- BIRTH CENTER OF CHICAGO, LLC
- Practice address
- 3832 N Lincoln Ave
Chicago, IL 60613-3520 - Phone
- (773) 232-2293
- Fax
- (773) 232-2299
- NPI assigned
- Mar 18, 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
- (773) 232-2293
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Advanced Practice Midwife | 367A00000X |
Addresses
Primary practice location
3832 N Lincoln Ave
Chicago, IL 60613-3520
Mailing address
3832 N Lincoln Ave
Chicago, IL 60613-3520
Phone (773) 232-2293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | IL |
Other names 1
- Birth Center of Chicago, LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@birthcenterofchicago.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Birth Center of Chicago
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Birthing Clinic/Center
- Chicago, IL
- NPI 1205433042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711584000000",
"number": "1922684232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3832 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133520",
"telephone_number": "773-232-2293",
"fax_number": "773-232-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3832 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133520",
"telephone_number": "773-232-2293",
"fax_number": "773-232-2299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIRTH CENTER OF CHICAGO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-18",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A",
"authorized_official_last_name": "WIEGAND",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "773-232-2293",
"authorized_official_name_prefix": "Mrs."
},
"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": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@birthcenterofchicago.com",
"affiliation": "N",
"endpointDescription": "Birth Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "3832 N Lincoln Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606133520",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Birth Center of Chicago, LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Birth Center of Chicago, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Mar 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.