Healthcare Provider Details

I. General information

NPI: 1912591348
Provider Name (Legal Business Name): BRITTANY HAYES RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2021
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6049 W 127TH ST
PALOS HEIGHTS IL
60463-2317
US

IV. Provider business mailing address

6049 W 127TH ST
PALOS HEIGHTS IL
60463-2317
US

V. Phone/Fax

Practice location:
  • Phone: 708-275-3315
  • Fax:
Mailing address:
  • Phone: 708-275-3315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number142697
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number142697
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: