Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | L-10936 |
NPI | 1154537389 |
---|---|
Provider Name | Ms. Jeanne M. Cygnus |
First Address | Mundelein, IL 60060-4255 |
Second Address | Mundelein, IL 60060-4255 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 14/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
L-10936 | IBLCE (INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS) (01) |