Elyse Fagan, CNS, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

041363532 Issued in IL

Practice address

10430 S Spaulding Ave
Chicago, IL 60655-2427

Phone

(708) 945-9673

NPI assigned

Mar 29, 2017

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

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1821520800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 S SPAULDING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552427",
            "telephone_number": "708-945-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 S SPAULDING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552427",
            "telephone_number": "708-945-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "ELYSE",
        "credential": "CNS, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IL",
            "license": "041363532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danette Fadzl, MEDICAL BILLING
• Patricia Faerber, PT, DPT
• Mariaelena J. Fagadore, CNP
• Brian J Fagan
• Eilis M Fagan, LCSW
• Marc Fagan, PSY.D.
• Mitchell Fagan, DO
• Kehinde Christiana Fagbemi, NP
• Oladipo Fagbemi, MD
• Katerina Fager, M.A.

• Lactation Consultant (Registered Nurse) in Chicago, IL
• Providers in Chicago, IL by specialty
• Lactation Consultant (Registered Nurse) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.