NPI 1013418854

Willow Pediatrics and Lactation

Organisation Pediatrics Physician Chicago, IL

Practice location

Address: 1430 W. Fillmore St. #1e, Chicago, IL 60607
Phone: (312) 869-9556
Mailing address: 2518 W Addison St APT 2w, Chicago, IL 60618-5953

Authorised official

Name: Amber Nicole Price
Title: Founder/Chief Physician
Phone: (312) 869-9556

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 036144763 (IL)

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Registry record

NPI: 1013418854
Entity type: Organization
NPI issued: 27 Feb 2018
Record last updated: 27 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.