Healthcare Provider Details

I. General information

NPI: 1215048970
Provider Name (Legal Business Name): THERESE MARIE DOYLE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/28/2025
Certification Date: 09/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 E ARMY TRAIL RD SUITE 301
BLOOMINGDALE IL
60108-2169
US

IV. Provider business mailing address

3040 W SALT CREEK LN
ARLINGTON HEIGHTS IL
60005-1069
US

V. Phone/Fax

Practice location:
  • Phone: 630-582-2800
  • Fax:
Mailing address:
  • Phone: 847-385-7323
  • Fax: 847-483-7043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number277000821
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number002223
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11022252
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: