Individual
MS. GWENAN WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
6647 N TALMAN AVE, CHICAGO, IL 60645-5008
(773) 465-2766
Mailing address
6647 N TALMAN AVE, CHICAGO, IL 60645-5008
(773) 465-2766
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041332219
IL
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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