Heather Dvorak, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-98682 Issued in IL

Practice address

1N630 Newton Ave
Glen Ellyn, IL 60137-3406

Phone

(847) 691-7100

NPI assigned

Sep 24, 2016

Last updated

Sep 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Locations

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 Authorized official

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474675200000",
    "number": "1568911154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1N630 NEWTON AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373406",
            "telephone_number": "847-691-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1N630 NEWTON AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373406",
            "telephone_number": "847-691-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "HEATHER",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IL",
            "license": "L-98682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dupage Medical Group, LTD.
• Dupage Medical Group, LTD.
• Dupage Wellness S C
• Ella Dutton, BCBA
• Adelbert C Duvel, MD
• Lu Ann Dwyer Seibert, RN, CDE
• Sarah Kristin Dyke, AUD
• Ecumenical Support Services for the Elderly Esse Center
• Natasha Edwards
• Katheryn Allbee Eidt, LCSW

• Lactation Consultant (Non-RN) in Glen Ellyn, IL
• Providers in Glen Ellyn, 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 Sep 24, 2016; 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.