MEDICARE: MRS. CHRISTY LYNN ENRIGHT CNM

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	209-000635	IL

General Provider Information

NPI Number	:	1407827751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTY LYNN ENRIGHT CNM

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1293
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1875 DEMPSTER ST STE 465
Second Line	:
City	:	PARK RIDGE
State	:	IL
Zip	:	60068-1129
Country	:	US
Telephone Number	:	847-825-1100
Fax Number	:	847-825-0994

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

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	08/19/2025

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