| Cygnus Lactation Services Llc | |
|
1500 S Lake St Suite B Mundelein IL 60060-4255 | |
| (847) 837-4091 | |
| (800) 894-1392 |
| Full Name | Cygnus Lactation Services Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1500 S Lake St, Mundelein, Illinois |
| Authorized Official Name and Position | Jeanne M Cygnus (PRESIDENT) |
| Authorized Official Contact | 8478374091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cygnus Lactation Services Llc 1500 S Lake St Suite B Mundelein IL 60060-4255 Ph: (847) 837-4091 | Cygnus Lactation Services Llc 1500 S Lake St Suite B Mundelein IL 60060-4255 Ph: (847) 837-4091 |
| NPI Number | 1598159915 |
|---|---|
| Provider Enumeration Date | 03/24/2015 |
| Last Update Date | 03/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598159915 | NPI | - | NPPES |
| 12748712 | Other | IL | CAQH |
| 12431979 | Other | IL | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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