Individual
LORRAINE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCD, CBE, PE, SBD
Contact information
Practice address
1427 ACORN DR, NORTH CHICAGO, IL 60064-1764
(708) 522-7150
Mailing address
1600 N MILWAUKEE AVE # 1062, VERNON HILLS, IL 60061-1574
(708) 522-7150
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-1904965
—
IL
Enumeration date
10/04/2022
Last updated
10/04/2022
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