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Susan M Prado, IBCLC

Lactation Consultant, Non-RN in Lombard, IL. Individual provider (NPI-1).

NPI number1619187713
StatusActive
Last updated in NPPESJun 24, 2011

Details

NPI
1619187713
Entity type
Individual (NPI-1)
Name
Susan M Prado
Credential
IBCLC
Sex
Female
Sole proprietor
Yes
Enumeration date
May 23, 2007
Last updated
Jun 24, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174N00000X Lactation Consultant, Non-RN104-20977ILYes
174400000X Specialist104-20977–

Practice location

2421 Royal Dr
Lombard, IL 60148-5325

Phone 630-620-0458

Mailing address

2421 Royal Dr
Lombard, IL 60148-5325

Phone 630-740-6652

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