Provider Demographics
NPI:1437010428
Name:MILKHAUS LACTATION & MATERNITY CENTER LLC
Entity type:Organization
Organization Name:MILKHAUS LACTATION & MATERNITY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF LACTATION CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:ILSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DEN TOOM
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:331-219-1382
Mailing Address - Street 1:120 S DEVOE DR
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-4508
Mailing Address - Country:US
Mailing Address - Phone:331-219-1382
Mailing Address - Fax:
Practice Address - Street 1:120 S DEVOE DR
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-4508
Practice Address - Country:US
Practice Address - Phone:331-219-1382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty