Individual
ALYSSA ENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 W COUNCIL TRL, MOUNT PROSPECT, IL 60056-3729
(847) 220-7705
Mailing address
402 W COUNCIL TRL, MOUNT PROSPECT, IL 60056-3729
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041.393663
IL
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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