| NPI | 1447830997 |
|---|---|
| Former Legal Business Name | BURR RIDGE BIRTH CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | LAURA WIEGAND Administrator 630-793-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |