Individual provider · Type 1 NPI
Maia Birchmoon-Gordon, RN, IBCLC
Lactation Consultant (Registered Nurse) · Chicago, IL
NPI number
1508663576
Active
Practice location
Outpatient Breastfeeding Clinic, 5140 N California Ave Suite 420
Chicago, IL 60625
Mailing address
7848 E Prairie Rd
Skokie, IL 60076-3672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | 041-300200 (IL) |
Lactation Consultant (Registered Nurse): Definition to come...
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About NPI 1508663576
Maia Birchmoon-Gordon, RN, IBCLC's National Provider Identifier is 1508663576, issued on Feb 27, 2025. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Chicago, IL. The record was last updated on Feb 27, 2025.