Individual
MRS. KELLY JEAN SIECZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC, LPC
Contact information
Practice address
1327 BUTTERFIELD RD STE 604, DOWNERS GROVE, IL 60515-1008
(630) 615-0533
Mailing address
224 JUNIPER CIR, STREAMWOOD, IL 60107-1862
(630) 615-0533
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-303480
IL
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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