Healthcare Provider Details

I. General information

NPI: 1871212936
Provider Name (Legal Business Name): KRISTEN MICHELE CONLEY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN MICHELE SIGLER

II. Dates (important events)

Enumeration Date: 08/23/2022
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 DEMPSTER ST STE 360
PARK RIDGE IL
60068-1192
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-1293
US

V. Phone/Fax

Practice location:
  • Phone: 847-825-1100
  • Fax: 847-825-0994
Mailing address:
  • Phone: 847-390-5900
  • Fax: 847-390-4757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number209025815
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number209.025815
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: