Individual
MAIA BIRCHMOON-GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
OUTPATIENT BREASTFEEDING CLINIC, 5140 N CALIFORNIA AVE SUITE 420, CHICAGO, IL 60625
(773) 878-8200
Mailing address
7848 E PRAIRIE RD, SKOKIE, IL 60076-3672
(773) 710-6242
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041-300200
IL
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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