Individual
ANGEL R PRABHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC, CALS
Contact information
Practice address
5430 W MELROSE ST, CHICAGO, IL 60641-4116
(773) 724-9540
Mailing address
5430 W MELROSE ST, CHICAGO, IL 60641-4116
(773) 724-9540
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
IL
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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