Individual
NICOLE SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
390 E CONGRESS PKWY STE J, CRYSTAL LAKE, IL 60014-6207
(815) 322-9300
(815) 322-9315
Mailing address
390 E CONGRESS PKWY STE J, CRYSTAL LAKE, IL 60014-6207
(815) 540-3613
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-307648
IL
Other
Enumeration date
07/06/2021
Last updated
01/20/2026
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