Healthcare Provider Details

I. General information

NPI: 1881948958
Provider Name (Legal Business Name): PATRICIA TOMLINSON RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2012
Last Update Date: 12/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 N ARLINGTON HEIGHTS RD 100A
ARLINGTON HEIGHTS IL
60004-1582
US

IV. Provider business mailing address

3325 N ARLINGTON HEIGHTS RD 100A
ARLINGTON HEIGHTS IL
60004-1582
US

V. Phone/Fax

Practice location:
  • Phone: 847-398-0434
  • Fax:
Mailing address:
  • Phone: 847-398-0434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number041.183692
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: