Individual
MRS. FAITH MITCHEL FAIRCLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN IBCLC
Contact information
Practice address
2019 THORNWOOD AVE, WILMETTE, IL 60091-1450
(847) 867-3218
Mailing address
2019 THORNWOOD AVE, WILMETTE, IL 60091-1450
(847) 867-3218
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041-221069
IL
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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