Healthcare Provider Details

I. General information

NPI: 1144749391
Provider Name (Legal Business Name): THE LACTATION NETWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2017
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 W CARROLL AVE
CHICAGO IL
60612-2501
US

IV. Provider business mailing address

1621 W CARROLL AVE
CHICAGO IL
60612-2501
US

V. Phone/Fax

Practice location:
  • Phone: 888-510-0059
  • Fax:
Mailing address:
  • Phone: 888-510-0059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NICK WRIGHT
Title or Position: CFO
Credential:
Phone: 312-846-1600