Individual
LINDA D GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC, RLC
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-4803
Mailing address
8820 W 92ND ST, HICKORY HILLS, IL 60457-1665
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
IL
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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