Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-83593 | IL |
NPI | 1134664584 |
---|---|
Provider Name | Mrs. Jill Marie Aspinwall |
First Address | Dekalb, IL 60115-3946 |
Second Address | Dekalb, IL 60115-3946 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2016 |
Last Update Date | 21/12/2016 |