Individual
HELEN WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
7384 CODY RUN, SOUTH BELOIT, IL 61080-8035
(419) 787-4466
Mailing address
7384 CODY RUN, SOUTH BELOIT, IL 61080
(419) 787-4466
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-35496
IL
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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