Provider Demographics
NPI:1114755329
Name:HOWARD, TELIKA (IBCLC)
Entity type:Individual
Prefix:
First Name:TELIKA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:TELIKA
Other - Middle Name:
Other - Last Name:CRAWLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:IBCLC
Mailing Address - Street 1:4431 N CLIFTON AVE APT 3W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-8394
Mailing Address - Country:US
Mailing Address - Phone:847-766-5508
Mailing Address - Fax:
Practice Address - Street 1:4431 N CLIFTON AVE APT 3W
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-8394
Practice Address - Country:US
Practice Address - Phone:847-766-5508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INL-162909174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN