Provider Demographics
NPI:1447628003
Name:BIRTHTIME CHICAGO INC
Entity type:Organization
Organization Name:BIRTHTIME CHICAGO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-239-3357
Mailing Address - Street 1:1660 E THACKER ST
Mailing Address - Street 2:UNIT 1 B
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-6447
Mailing Address - Country:US
Mailing Address - Phone:847-239-3357
Mailing Address - Fax:
Practice Address - Street 1:1660 E THACKER ST
Practice Address - Street 2:UNIT 1 B
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-6447
Practice Address - Country:US
Practice Address - Phone:847-239-3357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty