Individual
ILSE MARIEL DEN TOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 S DEVOE DR, OSWEGO, IL 60543-4508
(331) 643-8636
Mailing address
120 S DEVOE DR, OSWEGO, IL 60543-4508
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-315651
IL
Other
Enumeration date
08/23/2024
Last updated
11/22/2025
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