Alexa Buikema, RN, IBCLC

Individual provider Active NPI Lactation Consultant (Registered Nurse) · Roscoe, IL

NPI 1003612342 · NPPES record last updated Aug 31, 2026

Key facts

NPI
1003612342
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Registered Nurse) 163WL0100X
License
041411769 (IL)
Practice address
11022 Chicory Ridge Way
Roscoe, IL 61073-6367
Phone
(815) 670-1440
NPI assigned
Feb 19, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041411769ILMDLactation Consultant (Registered Nurse)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 041411769 IL Yes
Health Educator 174H00000X
Specialist 174400000X

Addresses

Primary practice location

11022 Chicory Ridge Way
Roscoe, IL 61073-6367

Mailing address

11022 Chicory Ridge Way
Roscoe, IL 61073-6367

Other providers in Roscoe, IL

All providers in Roscoe, IL · Lactation Consultant (Registered Nurse) in Illinois

Sources for this page

Verify at the official NPI Registry.