Organization
MOTHERS' MILK BANK OF THE WESTERN GREAT LAKES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUMMER KELLY MS, RN (EXECUTIVE DIRECTOR)
(847) 262-5134
Entity
Organization
Contact information
Practice address
560 BONNIE LANE, ELK GROVE VILLAGE, IL 60007-1910
(847) 262-5134
(847) 262-5983
Mailing address
560 BONNIE LANE, ELK GROVE VILLAGE, IL 60007-1910
(847) 262-5134
(847) 262-5983
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
04/02/2026
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