| NPI | 1053772004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE SHOWALTER President 847-716-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant (Licence: MS 902024) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |