Individual
MISS PATRYCJA ANNA PTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RNC-NIC, IBCLC
Contact information
Practice address
5803 N CAMPBELL AVE APT 2, CHICAGO, IL 60659-5445
(773) 220-4973
Mailing address
5803 N CAMPBELL AVE APT 2, CHICAGO, IL 60659-5445
(773) 220-4973
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-56770
IL
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
041345461
IL
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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