Provider Demographics
NPI:1609960996
Name:SCHLAEGER, JUDITH MICHELLE (CNM)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:MICHELLE
Last Name:SCHLAEGER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2655 W PETERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4017
Mailing Address - Country:US
Mailing Address - Phone:773-271-8880
Mailing Address - Fax:773-271-7435
Practice Address - Street 1:500 EAST 51ST STREET
Practice Address - Street 2:PROVIDENT HOSPITAL OF COOK COUNTY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-2400
Practice Address - Country:US
Practice Address - Phone:312-572-1200
Practice Address - Fax:312-572-1294
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209001907176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife