Jeanne M. Cygnus, IBCLC, PMH-C
Individual provider Active NPI Specialist · Mundelein, IL
NPI 1154537389 · NPPES record last updated Jul 14, 2020
Key facts
- NPI
- 1154537389
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 1500 S Lake St Ste B
Mundelein, IL 60060-4255 - Phone
- (847) 837-4091
- Fax
- (800) 894-1392
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cygnus Lactation Services, LLC | Lactation Consultant, Non-RN | Past | Accepting new patients |
| Cygnus Lactation Services LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-10936 | ||
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
1500 S Lake St Ste B
Mundelein, IL 60060-4255
Mailing address
1500 S Lake St Ste B
Mundelein, IL 60060-4255
Phone (847) 837-4091
Other practice location 1
8707 Skokie Blvd Ste L110
Skokie, IL 60077-2269
Phone (847) 616-8108
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L-10936 | Other | IBLCE (INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS) |
Other providers in Mundelein, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.