Organization
LIFE WITH BEN AND JEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ILCIUC RNC-MNN, IBCLC (LACTATION CONSULTANT)
(773) 310-0632
Entity
Organization
Contact information
Practice address
816 BENRIDGE CT, MUNDELEIN, IL 60060-1478
(773) 310-0632
Mailing address
816 BENRIDGE CT, MUNDELEIN, IL 60060-1478
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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