Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | ||
Y | 174N00000X | Lactation Consultant | L-303355 | IL |
NPI | 1215606504 |
---|---|
Provider Name | Taylor Anne Aguirre |
First Address | Buffalo Grove, IL 60089-6598 |
Second Address | Buffalo Grove, IL 60089-6598 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2021 |
Last Update Date | 09/09/2021 |