Individual
HEATHER DVORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1N630 NEWTON AVE, GLEN ELLYN, IL 60137-3406
(847) 691-7100
Mailing address
1N630 NEWTON AVE, GLEN ELLYN, IL 60137-3406
(847) 691-7100
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-98682
IL
Other
Enumeration date
09/24/2016
Last updated
09/24/2016
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