Organization
PROSPECT LACTATION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SIJAPATI IBCLC (OWNER/IBCLC)
(224) 232-9107
Entity
Organization
Contact information
Practice address
657 E GOLF RD STE 301, ARLINGTON HEIGHTS, IL 60005-4071
(224) 366-7444
Mailing address
124 S WAVERLY PL, MOUNT PROSPECT, IL 60056-2937
(224) 232-9107
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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