Individual
KATIE KOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
223 LIBERTY AVE, FOX RIVER GROVE, IL 60021-1515
(630) 927-2728
Mailing address
223 LIBERTY AVE, FOX RIVER GROVE, IL 60021-1515
(630) 927-2728
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-315863
IL
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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