Kelly Jean Sieczkowski, IBCLC, LPC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-303480 Issued in IL

Practice address

1327 Butterfield Rd Ste 604
Downers Grove, IL 60515-1008

Phone

(630) 615-0533

NPI assigned

Aug 5, 2021

Last updated

Aug 5, 2021By the provider in NPPES

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Baby Place, LLC

  • Lactation Consultant (Non-RN)
  • Lombard, IL
  • NPI 1053995282

  Lactation Consultant, Non-RN

  NPD (past)

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1386318012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 JUNIPER CIR",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071862",
            "telephone_number": "630-615-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 BUTTERFIELD RD STE 604",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151008",
            "telephone_number": "630-615-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIECZKOWSKI",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "IBCLC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IL",
            "license": "L-303480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Shulman, M.D.
• Krista Marie Shutvet, MOT, OTR/L
• Billal Siddiq
• Aheed J Siddiqi, M.D.
• Mohammad Tabraize Siddique, M. D.
• Peggy Siegele, APN
• Miranda Nicole Siemsen
• Jeanine Elaine Sienkowski, APN
• Sigma Diagnostics Inc
• Emily Silverman

• Lactation Consultant (Non-RN) in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Lactation Consultant (Non-RN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.