Organization
CYGNUS LACTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE M CYGNUS IBCLC (PRESIDENT)
(847) 837-4091
Entity
Organization
Contact information
Practice address
1500 S LAKE ST, SUITE B, MUNDELEIN, IL 60060-4255
(847) 837-4091
(800) 894-1392
Mailing address
1500 S LAKE ST, SUITE B, MUNDELEIN, IL 60060-4255
(847) 837-4091
(800) 894-1392
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12431979
CAQH
IL
01
—
12748712
CAQH
IL
Enumeration date
03/24/2015
Last updated
03/24/2015
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