Individual
AMY BOGSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, IBCLC
Contact information
Practice address
2744 MORAINE VALLEY RD, WAUCONDA, IL 60084-5006
(847) 345-2195
Mailing address
2744 MORAINE VALLEY RD, WAUCONDA, IL 60084-5006
(847) 345-2195
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
41582
IL
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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