Individual
SHERITA NEEDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
8 W 137TH ST, RIVERDALE, IL 60827-2008
(630) 460-8123
Mailing address
8 W 137TH ST, RIVERDALE, IL 60827-2008
(630) 460-8123
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-301055
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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