Organization Active NPI

Mothers' Milk Bank of the Western Great Lakes, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Elk Grove Village, IL
National Provider Identifier
1386159051
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MOTHERS' MILK BANK OF THE WESTERN GREAT LAKES, INC.
Practice address
560 Bonnie Lane
Elk Grove Village, IL 60007-1910
Phone
(847) 262-5134
Fax
(847) 262-5983
NPI assigned
Dec 4, 2017
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Mrs. Summer Kelly, MS, RN
Title
Executive Director
Phone
(847) 262-5134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

560 Bonnie Lane
Elk Grove Village, IL 60007-1910

Mailing address

560 Bonnie Lane
Elk Grove Village, IL 60007-1910
Phone (847) 262-5134

National Provider Directory

National Provider Directory

Locations

1691 Elmhurst Rd
Elk Grove Village, IL 60007

560 Bonnie Ln
Elk Grove Village, IL 60007
Phone (847) 262-5134

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1386159051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 BONNIE LANE",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600071910",
            "telephone_number": "847-262-5134",
            "fax_number": "847-262-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 BONNIE LANE",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600071910",
            "telephone_number": "847-262-5134",
            "fax_number": "847-262-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHERS' MILK BANK OF THE WESTERN GREAT LAKES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-262-5134",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.