Healthcare Provider Details

I. General information

NPI: 1750244455
Provider Name (Legal Business Name): ABAIGEAL ZIEGLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 CLEMENT AVE
FORSYTH IL
62535-9806
US

IV. Provider business mailing address

5315 W SCHOOL RD
WARRENSBURG IL
62573-2116
US

V. Phone/Fax

Practice location:
  • Phone: 217-875-7151
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-315528
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: