Individual provider · NPI-1

Molly Blohm, RN, IBCLC

Registered Nurse, Lactation Consultant · Chicago, IL

NPI number1801518188
StatusActive
Last updated in NPPESSep 14, 2022

Details

NPI
1801518188
Entity type
Individual (NPI-1)
Name
Molly Blohm
Credential
RN, IBCLC
Sex
Female
Sole proprietor
No
Enumeration date
Sep 14, 2022
Certification date
Sep 9, 2022
Last updated
Sep 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WL0100X Registered Nurse, Lactation Consultant041.394394ILYes

Other names

  • Molly Gapen (Former Name)

Practice location

1950 W Roscoe St
Chicago, IL 60657-1030

Phone 847-525-0729

Mailing address

120 W Brookwood Dr
Arlington Heights, IL 60004-2516

Phone 847-525-0729

Other practice locations

836 W Wellington Ave
Chicago, IL 60657-5147

Phone 773-296-7765

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