Organization
MOM2MOM LACTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLY ENTER RN, BSN, IBCLC (OWNER)
(847) 220-7705
Entity
Organization
Contact information
Practice address
402 W COUNCIL TRL, MOUNT PROSPECT, IL 60056-3729
(847) 220-7705
Mailing address
402 W COUNCIL TRL, MOUNT PROSPECT, IL 60056-3729
(847) 220-7705
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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