Gwenan Wilbur, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

041332219 Issued in IL

Practice address

6647 N Talman Ave
Chicago, IL 60645-5008

Phone

(773) 465-2766

NPI assigned

Feb 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1235401563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6647 N TALMAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606455008",
            "telephone_number": "773-465-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6647 N TALMAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606455008",
            "telephone_number": "773-465-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBUR",
        "first_name": "GWENAN",
        "name_prefix": "Ms.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IL",
            "license": "041332219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank DD Wilberding II, LCSW
• Maxwell Wilberding
• Amy Johnson Wilbourne, MSW, LCSW
• Andrew Wilbur, MD
• Andrew C. Wilbur, M.D.
• Kayla Wilbur, LCSW
• Maren Wilburn
• April Wilburne
• Lauren Kathleen Wilch, MD
• Charlom Wilcher

• Lactation Consultant (Registered Nurse) in Chicago, IL
• Providers in Chicago, IL by specialty
• Lactation Consultant (Registered Nurse) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.