Daisy Mary Alfonso

Individual provider Active NPI Lactation Consultant (Non-RN) · Wheaton, IL

NPI 1700729993 · NPPES record last updated Aug 19, 2026

Key facts

NPI
1700729993
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
License
260802 (IL)
Practice address
111 N County Farm Rd
Wheaton, IL 60187-3977
Phone
(630) 221-7087
NPI assigned
Apr 13, 2026
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X IL
Lactation Consultant (Non-RN) 174N00000X 260802 IL Yes

Addresses

Primary practice location

111 N County Farm Rd
Wheaton, IL 60187-3977

Mailing address

111 N County Farm Rd
Wheaton, IL 60187-3977

Other providers in Wheaton, IL

All providers in Wheaton, IL · Lactation Consultant (Non-RN) in Illinois

Sources for this page

Verify at the official NPI Registry.