MEDICARE: BIRTHING WITHIN THE SPIRIT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251K00000X	Public Health or Welfare Agency
3	252Y00000X	Early Intervention Provider Agency
4	253J00000X	Foster Care Agency
5	253Z00000X	In Home Supportive Care Agency
6	261QA0005X	Ambulatory Family Planning Facility
7	261QC1500X	Community Health Clinic/Center
8	261QF0050X	Non-Surgical Family Planning Clinic/Center
9	261QH0100X	Health Service Clinic/Center
10	261QM0855X	Adolescent and Children Mental Health Clinic/Center
11	261QB0400X	Birthing Clinic/Center

General Provider Information

NPI Number	:	1184003683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIRTHING WITHIN THE SPIRIT

Provider Business Mailing Address
First Line	:	4157 S INDIANA AVE
Second Line	:	APT 2S
City	:	CHICAGO
State	:	IL
Zip	:	60653-2172
Country	:	US
Telephone Number	:	773-577-4465
Fax Number	:

Provider Business Practice Location Address
First Line	:	4157 S INDIANA AVE
Second Line	:	APT 2S
City	:	CHICAGO
State	:	IL
Zip	:	60653-2172
Country	:	US
Telephone Number	:	773-577-4465
Fax Number	:

Authorized Official
Title or Position	:	FOUNDING DIRECTOR
Name	:	MS. TIKVAH TAMAH YAFAH WADLEY
Credential	:
Telephone Number	:	773-577-4465

Provider Enumeration Date	:	05/29/2015
Last Update Date	:	05/29/2015

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Directions to “BIRTHING WITHIN THE SPIRIT ” Practice Location

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