Individual
KELLY SIJAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
904 S WA PELLA AVE, MOUNT PROSPECT, IL 60056-4223
(224) 232-9107
Mailing address
904 S WA PELLA AVE, MOUNT PROSPECT, IL 60056-4223
(224) 232-9107
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-87205
IL
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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