Provider Demographics
NPI:1588958961
Name:CHICAGOLAND BREASTFEEDING
Entity type:Organization
Organization Name:CHICAGOLAND BREASTFEEDING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZAGONE
Authorized Official - Suffix:
Authorized Official - Credentials:BA, IBCLC, RLC
Authorized Official - Phone:847-308-7367
Mailing Address - Street 1:1213 W GLENN LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-4014
Mailing Address - Country:US
Mailing Address - Phone:847-308-7367
Mailing Address - Fax:
Practice Address - Street 1:1213 W GLENN LN
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-4014
Practice Address - Country:US
Practice Address - Phone:847-308-7367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty