Provider Demographics
NPI:1821860057
Name:BIRTH ROOTS COMMUNITY MIDWIFERY: HOME BIRTH, EDUCATION, AND REPRODUCTI
Entity Type:Organization
Organization Name:BIRTH ROOTS COMMUNITY MIDWIFERY: HOME BIRTH, EDUCATION, AND REPRODUCTI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE, CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORINNE
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:WESTING
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:312-771-5699
Mailing Address - Street 1:28W586 ROGERS AVE
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-3427
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:626 E OGDEN AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3237
Practice Address - Country:US
Practice Address - Phone:708-669-4013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty