Organization Active NPI

Mom2Mom Lactation

  • Lactation Consultant (Registered Nurse)
  • Mount Prospect, IL
National Provider Identifier
1063383701
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
MOM2MOM LACTATION
Practice address
402 W Council TRL
Mount Prospect, IL 60056-3729
Phone
(847) 220-7705
NPI assigned
Sep 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ally Enter, RN, BSN, IBCLC
Title
Owner
Phone
(847) 220-7705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X Primary

Addresses

Primary practice location

402 W Council TRL
Mount Prospect, IL 60056-3729

Mailing address

402 W Council TRL
Mount Prospect, IL 60056-3729
Phone (847) 220-7705

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1063383701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W COUNCIL TRL",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563729",
            "telephone_number": "847-220-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W COUNCIL TRL",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563729",
            "telephone_number": "847-220-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOM2MOM LACTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "ENTER",
        "authorized_official_first_name": "ALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-220-7705",
        "authorized_official_credential": "RN, BSN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.