MEDICARE: BARBARA ANN ZIMMERMAN MINNICH C.N.M.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	100316	OK
2	367A00000X	Advanced Practice Midwife	209.009431	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	41449	OTHER	OK	OK BOARD OF NARCOTICS AND DANGEROUS DRUGS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	309.006128	OTHER	IL	APN CONTROLLED SUBSTANCE
5	CS12064	OTHER	NV	PHARMACY/CDS

General Provider Information

NPI Number	:	1275511925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA ANN ZIMMERMAN MINNICH C.N.M.

Provider Business Mailing Address
First Line	:	5401 S WENTWORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-6300
Country	:	US
Telephone Number	:	773-288-6900
Fax Number	:	773-268-3020

Provider Business Practice Location Address
First Line	:	5401 S WENTWORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-6300
Country	:	US
Telephone Number	:	773-288-6900
Fax Number	:	773-268-3020

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	03/07/2023

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Directions to “ BARBARA ANN ZIMMERMAN MINNICH C.N.M.” Practice Location

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