Kelly Sijapati, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-87205 Issued in IL

Practice address

904 S Wa Pella Ave
Mount Prospect, IL 60056-4223

Phone

(224) 232-9107

NPI assigned

Dec 28, 2020

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

Locations

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

• Prospect Lactation Care LLC

  • Lactation Consultant (Non-RN)
  • Arlington Heights, IL
  • NPI 1154197358

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1710574561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 S WA PELLA AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564223",
            "telephone_number": "224-232-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 S WA PELLA AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564223",
            "telephone_number": "224-232-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIJAPATI",
        "first_name": "KELLY",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IL",
            "license": "L-87205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark C. Shields, M.D.
• Lubowa N Shimonde
• Alla Shostak, RPH
• Bilal Siddiqui, D.P.M
• Signature Medical Clinic LLC
• Gurmukh Singh, PA-C
• Sukhwinder K Singh, LSW
• Evans R Sirois, D.O
• SK Supplies Inc
• SK Supplies Inc

• Lactation Consultant (Non-RN) in Mount Prospect, IL
• Providers in Mount Prospect, 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 Dec 28, 2020; 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.