Provider Demographics
NPI:1073636171
Name:WEST SUBURBAN MIDWIFE ASSOC. LTD
Entity type:Organization
Organization Name:WEST SUBURBAN MIDWIFE ASSOC. LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:HILLARY
Authorized Official - Middle Name:BROWN
Authorized Official - Last Name:KIESER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CNM,
Authorized Official - Phone:708-848-3800
Mailing Address - Street 1:715 LAKE ST
Mailing Address - Street 2:SUITE 273
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1422
Mailing Address - Country:US
Mailing Address - Phone:708-848-3800
Mailing Address - Fax:708-848-0008
Practice Address - Street 1:715 LAKE ST
Practice Address - Street 2:SUITE 273
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1422
Practice Address - Country:US
Practice Address - Phone:708-848-3800
Practice Address - Fax:708-848-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QF0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical