Individual
KATHERINE MANUSOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1040 62ND PL, DOWNERS GROVE, IL 60516-1816
(708) 207-5732
Mailing address
1040 62ND PL, DOWNERS GROVE, IL 60516-1816
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-311305
IL
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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