Individual
MELISSA BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC LICENSE#156382
Contact information
Practice address
303 SHERIDAN ROAD, HIGHLAND PARK, IL 60035
(314) 324-3655
Mailing address
303 SHERIDAN ROAD, HIGHLAND PARK, IL 60035
(314) 324-3655
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
ALPP-241397
WI
Other
Enumeration date
01/27/2017
Last updated
08/13/2020
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