Healthcare Provider Details

I. General information

NPI: 1174288245
Provider Name (Legal Business Name): MARIA FERNANDA ESCAMILLA ENCINAS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2021
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 BROM CT STE 104
NAPERVILLE IL
60540-6533
US

IV. Provider business mailing address

1585 TRAILS END LN
BOLINGBROOK IL
60490-3290
US

V. Phone/Fax

Practice location:
  • Phone: 630-717-9977
  • Fax: 630-429-9883
Mailing address:
  • Phone: 312-982-6220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: