Individual
ROMA VASUDEV SEAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RD, CLC, IBCLC
Contact information
Practice address
24014 W RENWICK RD UNIT 105, PLAINFIELD, IL 60544-8729
(773) 505-7662
Mailing address
1569 GLENSIDE DR, BOLINGBROOK, IL 60490-5499
(773) 505-7662
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
987462
IL
163W00000X
Registered Nurse
041518743
IL
163W00000X
Registered Nurse
RN.369070
OH
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-151275
IL
163WL0100X
Lactation Consultant (Registered Nurse)
L-151275
OH
163WL0100X
Lactation Consultant (Registered Nurse)
RN.369070
OH
Other
Enumeration date
05/30/2020
Last updated
09/29/2022
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