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NPI Code Detail

MEDICARE: ILANA KAHN RN, IBCLC

MEDICARE:   ILANA  KAHN  RN, IBCLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WL0100XLactation Consultant (Registered Nurse)041407703IL

General Provider Information

NPI Number : 1063293405
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILANA KAHN RN, IBCLC
Provider Business Mailing Address
First Line : 2933 W LUNT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60645-2919
Country : US
Telephone Number : 303-601-4882
Fax Number :
Provider Business Practice Location Address
First Line : 2933 W LUNT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60645-2919
Country : US
Telephone Number : 303-601-4882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2023
Last Update Date : 10/11/2023

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