Healthcare Provider Details

I. General information

NPI: 1093624355
Provider Name (Legal Business Name): VP LACTATION CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 S ASHLAND AVE
LA GRANGE IL
60525-6308
US

IV. Provider business mailing address

320 S ASHLAND AVE
LA GRANGE IL
60525-6308
US

V. Phone/Fax

Practice location:
  • Phone: 708-497-9010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VANESSA PRINZ
Title or Position: OWNER
Credential:
Phone: 708-497-9010