Individual
JUDY ANN BERGSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-IBCLC
Contact information
Practice address
147 N 2ND ST, SUITE 11, DEKALB, IL 60115-3276
(815) 517-1783
(815) 517-1783
Mailing address
147 N 2ND ST, SUITE 11, DEKALB, IL 60115-3276
(815) 517-1783
(815) 517-1783
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041.231280
IL
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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