Organization
MOMME WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE ANN OLSON RN, IBCLC (OWNER)
(847) 858-1825
Entity
Organization
Contact information
Practice address
690 E TERRA COTTA AVE STE C, CRYSTAL LAKE, IL 60014-3605
(847) 858-1825
Mailing address
3560 WINTERGREEN TER, ALGONQUIN, IL 60102-6365
(847) 858-1825
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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