MEDICARE: THE LACTATION NETWORK LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261Q00000X	Clinic/Center
2	163WL0100X	Lactation Consultant (Registered Nurse)
3	174N00000X	Lactation Consultant (Non-RN)
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1144749391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE LACTATION NETWORK LLC

Provider Business Mailing Address
First Line	:	1621 W CARROLL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-2501
Country	:	US
Telephone Number	:	888-510-0059
Fax Number	:

Provider Business Practice Location Address
First Line	:	1621 W CARROLL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-2501
Country	:	US
Telephone Number	:	888-510-0059
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	NICK WRIGHT
Credential	:
Telephone Number	:	312-846-1600

Provider Enumeration Date	:	09/19/2017
Last Update Date	:	10/01/2025

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