Organization
TLN PROFESSIONAL SERVICES WEST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INSIYAH AAMIR GOMBERAWALLA MD (PRESIDENT AND SECRETARY)
(708) 872-7653
Entity
Organization
Contact information
Practice address
8325 UNIVERSITY AVE, LA MESA, CA 91942-9322
(888) 510-0059
Mailing address
1621 W CARROLL AVE, CHICAGO, IL 60612-2501
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
10/01/2025
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