Charlene Marie Krause, RN, IBCLC
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Coal City, IL
NPI 1245877364 · NPPES record last updated Dec 9, 2019
Key facts
- NPI
- 1245877364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- 041232568 (IL)
- Practice address
- 2880 N Lincoln Lake Dr
Coal City, IL 60416-9505 - Phone
- (815) 474-1221
- NPI assigned
- Dec 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041232568 | IL | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) |
163WL0100X | 041232568 | IL | Yes |
Addresses
Primary practice location
2880 N Lincoln Lake Dr
Coal City, IL 60416-9505
Mailing address
2880 N Lincoln Lake Dr
Coal City, IL 60416-9505
Phone (815) 474-1221
Other providers in Coal City, IL
- John D Scala MD PC
- Stacey Johnson
- Gaurav Kapoor
- Jane Louise Kapral
- Erica Robin Krahl
- Lander Family Chiropractic LLC
- Burgundy L Lander
- Erin S Lane
- Hazel J Langcauon
- Lardi Chiropractic LTD
All providers in Coal City, IL · Lactation Consultant (Registered Nurse) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2019. 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.