Moms Lactation Resource Center | |
506 N Elida Winnebago IL 61088 | |
(815) 222-4596 | |
Not Available |
Full Name | Moms Lactation Resource Center |
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Speciality | Clinic/center |
Location | 506 N Elida, Winnebago, Illinois |
Authorized Official Name and Position | Jennifer Beck (CO-MANAGER) |
Authorized Official Contact | 8152224596 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Moms Lactation Resource Center 984 Westridge Dr. Rockford IL 61102 Ph: (815) 222-4596 | Moms Lactation Resource Center 506 N Elida Winnebago IL 61088 Ph: (815) 222-4596 |
NPI Number | 1255803466 |
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Provider Enumeration Date | 12/28/2018 |
Last Update Date | 12/28/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255803466 | NPI | - | NPPES |
187065250 | Medicaid | IL | |
1821569120 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |