Healthcare Provider Details

I. General information

NPI: 1962358556
Provider Name (Legal Business Name): TRILLIUM REPRODUCTIVE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

115 N MARION ST STE 13
OAK PARK IL
60301-1503
US

IV. Provider business mailing address

115 N MARION ST STE 13
OAK PARK IL
60301-1503
US

V. Phone/Fax

Practice location:
  • Phone: 708-669-4013
  • Fax:
Mailing address:
  • Phone: 708-669-4013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CORINNE R WESTING
Title or Position: OWNER, MIDWIFE
Credential: CNM
Phone: 708-669-4013