Organization
TLN PROFESSIONAL SERVICES II, PC
Active
Parent organization
TLN PROFESSIONAL SERVICES II, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TLN PROFESSIONAL SERVICES II, PC
Authorized official
INSIYAH GOMBERAWALLA MD (PRESIDENT & SECRETARY)
(708) 872-7653
Entity
Organization
Contact information
Practice address
334 N SENATE AVE, INDIANAPOLIS, IN 46204-1708
(888) 510-0059
Mailing address
1621 W CARROLL AVE, CHICAGO, IL 60612-2501
(888) 510-0059
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
10/01/2025
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