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Individual

MRS. ELIZABETH SUSAN SJOBLOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN, IBCLC

Contact information

Practice address
2448 W BLOOMINGDALE AVE, UNIT 2W, CHICAGO, IL 60647-6285
(847) 452-0041
Mailing address
2448 WEST BLOOMINGDALE, UNIT 2W, CHICAGO, IL 60647
(847) 452-0041

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041349621
IL

Other

Enumeration date
03/09/2012
Last updated
03/09/2012
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