Individual
MS. M. PATRICIA JANICEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
545 PLAINFIELD RD STE C, WILLOWBROOK, IL 60527-7601
(630) 654-2229
Mailing address
6103 GRAND AVE, DOWNERS GROVE, IL 60516-2003
(630) 776-6975
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041196581
IL
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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