THIRD COAST LACTATION LLC (NPI# 1194101220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194101220 |
| Entity Type | Organization |
| Organization Name | THIRD COAST LACTATION LLC |
| Practice Address |
4925 N Leavitt St Chicago IL 60625-1308 |
| Practice Telephone | 3123809638 |
| Mailing Telephone | 3123809638 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2016-01-19 |
| Authorized Official Name | ELIZABETH KELLY (LACTATION CONSULTANT & FOUNDER) |
| Authorized Official Telephone | 4405549321 |
| Authorized Official Credential | MS, RN, IBCLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
041389385 | IL | Nursing Service Providers |
| Street Address |
4925 N LEAVITT ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568680312 | Elizabeth Kelly | Registered Nurse | 4925 N Leavitt St, Chicago, IL 60625-1308 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728322 | Nicola Ann Genelly | Registered Nurse | 4545 W Hutchinson St, Chicago, IL 60641-1989 | 2018-01-19 |
| 1164935102 | Jaudon Rogers | Registered Nurse | 1905 W Foster Ave # 2, Chicago, IL 60640-1025 | 2017-11-13 |
| 1821520800 | Elyse Fagan | Registered Nurse | 10430 S Spaulding Ave, Chicago, IL 60655-2427 | 2017-03-29 |
| 1457765075 | Summer Glynn Kelly | Registered Nurse | 4828 N Neenah Ave, Chicago, IL 60656-4018 | 2014-06-12 |
| 1447525449 | Elizabeth Susan Sjoblom | Registered Nurse | 2448 W Bloomingdale Ave, Unit 2w, Chicago, IL 60647-6285 | 2012-03-09 |
| 1235401563 | Gwenan Wilbur | Registered Nurse | 6647 N Talman Ave, Chicago, IL 60645-5008 | 2012-02-01 |
| 1629218227 | Laura Coulter | Registered Nurse | 4538 N Hermitage Ave, Chicago, IL 60640-5304 | 2009-02-23 |
| 1538370994 | Martha Petering Johnson | Registered Nurse | 4138 N Harding Ave, Chicago, IL 60618-1943 | 2007-05-25 |
| 1568680312 | Elizabeth Kelly | Registered Nurse | 4925 N Leavitt St, Chicago, IL 60625-1308 | 2007-04-24 |
| 1306252358 | Windy City Baby LLC | Registered Nurse | 4828 N Neenah Ave, Chicago, IL 60656-4018 | 2014-07-10 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.