Provider Demographics
NPI:1699919720
Name:GENESIS FAMILY MIDWIFERY
Entity type:Organization
Organization Name:GENESIS FAMILY MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:OSER
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, WHNP
Authorized Official - Phone:630-393-9800
Mailing Address - Street 1:5609 WESTVIEW LN
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-2786
Mailing Address - Country:US
Mailing Address - Phone:630-393-9800
Mailing Address - Fax:630-393-0499
Practice Address - Street 1:28379 DAVIS PKWY STE 801
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-3032
Practice Address - Country:US
Practice Address - Phone:630-393-9800
Practice Address - Fax:630-393-0499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No251E00000XAgenciesHome Health