Individual provider Active NPI

Sheila Vuckovich, CLC,CD(DONA), ALPP

  • Doula
  • Mokena, IL
National Provider Identifier
1326843079
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
1234081 Issued in IL
Practice address
9257 Elm Ave
Mokena, IL 60448-8345
Phone
(708) 738-8125
NPI assigned
Feb 17, 2025
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X 317382 IL
Doula 374J00000X 1234081 IL Primary

Addresses

Primary practice location

9257 Elm Ave
Mokena, IL 60448-8345

Mailing address

9257 Elm Ave
Mokena, IL 60448-8345
Phone (708) 738-8125

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
317382ILMDLactation Consultant (Non-RN)
1234081ILMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1326843079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9257 ELM AVE",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488345",
            "telephone_number": "708-738-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9257 ELM AVE",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488345",
            "telephone_number": "708-738-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUCKOVICH",
        "first_name": "SHEILA",
        "credential": "CLC,CD(DONA), ALPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IL",
            "license": "317382",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "IL",
            "license": "1234081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.