Individual
JANELLE G LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
5425 W LAKE ST, CHICAGO, IL 60644-2342
(630) 908-9958
Mailing address
34 PARKVIEW RD, GLENVIEW, IL 60025-4930
(847) 724-6863
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
041.167806
IL
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
209.006690
IL
Other
Enumeration date
05/19/2013
Last updated
05/19/2013
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