Individual provider · NPI-1

Leslie Rayo

Lactation Consultant, Non-RN · Lombard, IL

NPI number1174200406
StatusActive
Last updated in NPPESAug 20, 2026

Details

NPI
1174200406
Entity type
Individual (NPI-1)
Name
Leslie Rayo
Sex
Female
Sole proprietor
No
Enumeration date
Jun 29, 2023
Certification date
Aug 20, 2026
Last updated
Aug 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174N00000X Lactation Consultant, Non-RN–ILYes
163W00000X Registered Nurse041.499233IL

Practice location

1111 E Jackson St
Lombard, IL 60148-3709

Phone 630-682-7400

Mailing address

111 N County Farm Rd
Wheaton, IL 60187-3977

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