ELYSE FAGAN

CHICAGO, IL
NPI1821520800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WL0100X Registered Nurse, Lactation Consultant
(Licence: IL  041363532)
Enumeration Date2017-03-29
Last Update Date2017-03-29
Business Address
-- ELYSE FAGAN CNS, IBCLC
10430 S SPAULDING AVE
CHICAGO, IL 60655-2427
Phone number: 708-945-9673
Mailing Address
-- ELYSE FAGAN CNS, IBCLC
10430 S SPAULDING AVE
CHICAGO, IL 60655-2427
Phone number: 708-945-9673
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