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Individual

SUSAN M PRADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
2421 ROYAL DR, LOMBARD, IL 60148-5325
(630) 620-0458
Mailing address
2421 ROYAL DR, LOMBARD, IL 60148-5325
(630) 740-6652

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
104-20977
174N00000X
Lactation Consultant (Non-RN)
Primary
104-20977
IL

Other

Enumeration date
05/23/2007
Last updated
06/24/2011
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